Organization · Type 2 NPI
Twmk2
Clinical Psychologist · St. Louis, MO
Practice location
103 W Lockwood Ave Ste 204
St. Louis, MO 63119-2945
Fax (773) 825-8219
Mailing address
451 Alice Ave
Kirkwood, MO 63122-6304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | None 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 1205512969
Twmk2's National Provider Identifier is 1205512969, issued on Jun 26, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis, MO. The record was last updated on Aug 11, 2026.