| Zecarich Incorporated | |
|
844 N New Ballas Ct Creve Coeur MO 63141-7174 | |
| (314) 482-5223 | |
| Not Available |
| Full Name | Zecarich Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 844 N New Ballas Ct, Creve Coeur, Missouri |
| Authorized Official Name and Position | Pamela Latarsha Buchanan (OWNER/PRESIDENT) |
| Authorized Official Contact | 6368662308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zecarich Incorporated 844 N New Ballas Ct Creve Coeur MO 63141-7174 Ph: (314) 482-5223 | Zecarich Incorporated 844 N New Ballas Ct Creve Coeur MO 63141-7174 Ph: (314) 482-5223 |
| NPI Number | 1225760309 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Medicare PECOS PAC ID | 5799153664 |
|---|---|
| Medicare Enrollment ID | O20221128000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225760309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164633111 PECOS PAC ID: 8325115736 Enrollment ID: I20080927000029 |
| Provider Name | Christina M Bardle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255803961 PECOS PAC ID: 1456697366 Enrollment ID: I20190115000926 |
| Provider Name | David Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760504013 PECOS PAC ID: 5991185225 Enrollment ID: I20220705002145 |
| Provider Name | Sandra M Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598996324 PECOS PAC ID: 6709244759 Enrollment ID: I20230626002038 |
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