Individual provider · Type 1 NPI
Emona Lashelle Ewharekuko
Health Service Psychologist · St. Louis, MO
Practice location
2162 Cherry Ave
St. Louis, MO 63121-5625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | S137338040 (MO) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1346647906
Emona Lashelle Ewharekuko's National Provider Identifier is 1346647906, issued on Nov 25, 2014. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in St. Louis, MO. The record was last updated on Nov 26, 2014.