Organization · Type 2 NPI

Gateway Psychiatric Group, LLC

Prescribing (Medical) Psychologist · Creve Coeur, MO

NPI number 1902244825 Active

Practice location

11710 Old Ballas Rd, Suite 110
Creve Coeur, MO 63141-7076

Call (314) 567-1958 Map

Fax (314) 567-0037

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X100250 (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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

12 other providers at this address

About NPI 1902244825

Gateway Psychiatric Group, LLC's National Provider Identifier is 1902244825, issued on Jun 13, 2013. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Creve Coeur, MO. The record was last updated on Jun 13, 2013.