Individual
BRIAN D CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 N JACKSON RD, PSYCHOLOGICAL SERVICES CENTER, SAINT LOUIS, MO 63105-2153
(314) 935-8212
Mailing address
7 N JACKSON RD, PSYCHOLOGICAL SERVICES CENTER, SAINT LOUIS, MO 63105-2153
(314) 935-8212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2000166306
MO
Other
Enumeration date
08/11/2005
Last updated
12/29/2014
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