Individual
DR. VIVIAN KNIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8616
(314) 814-8647
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8616
(314) 814-8647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493681225
—
MO
Enumeration date
11/01/2006
Last updated
02/27/2012
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