Organization · Type 2 NPI
Phoenix Psychological Group, Inc
Prescribing (Medical) Psychologist · St. Louis, MO
Practice location
225 S Meramec Ave, Suite 506
St. Louis, MO 63105-3596
Fax (314) 863-0074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | PY01201 (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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1386767994
Phoenix Psychological Group, Inc's National Provider Identifier is 1386767994, issued on Apr 9, 2007. 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 Aug 22, 2020.