Organization · Type 2 NPI

Meditelecare of Missouri LLC

Clinical Psychologist · St. Louis, MO

NPI number 1013416585 Active

Practice location

5661 Telegraph Rd Ste 4B
St. Louis, MO 63129-4275

Mailing address

PO Box 1595
Middletown, CT 06457-8095

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Social Worker 104100000XNone listed
Psychiatry Physician 2084P0800XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1013416585

Meditelecare of Missouri LLC's National Provider Identifier is 1013416585, issued on Feb 9, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis, MO. The record was last updated on May 5, 2025.