Individual
DR. MARIANELA DORNHECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3832 MCDONALD AVE, SAINT LOUIS, MO 63116-4717
(314) 669-4706
Mailing address
PO BOX 63174, SAINT LOUIS, MO 63163-3174
(314) 669-4706
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37639
TX
Other
Enumeration date
03/25/2019
Last updated
10/18/2020
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