Individual provider · Type 1 NPI

Lynn Ashley Cunningham, MD

Prescribing (Medical) Psychologist · St. Louis, MO

NPI number 1114253549 Active

Practice location

8 W Pine Ct
St. Louis, MO 63108-2110

Fax (314) 367-0178

Mailing address

4579 Laclede Ave, # 443
St. Louis, MO 63108-2103

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X2004017382 (MO)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

About NPI 1114253549

Lynn Ashley Cunningham, MD's National Provider Identifier is 1114253549, issued on Oct 20, 2009. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in St. Louis, MO. The record was last updated on Oct 20, 2009.