Organization · Type 2 NPI

Veterans Affairs Medical Center

Clinical Psychologist · St. Louis, MO

NPI number 1063500494 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	2006031019 (MO)

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 1063500494

Veterans Affairs Medical Center's National Provider Identifier is 1063500494, issued on Oct 11, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2008.