Organization
BROOKE KRAUSHAAR,PSY.D,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE E KRAUSHAAR PSY.D. (PRESIDENT)
(314) 210-2001
Entity
Organization
Contact information
Practice address
6321 ALAMO AVE, SAINT LOUIS, MO 63105-3103
(314) 210-2001
Mailing address
9890 CLAYTON RD, SUITE 100, SAINT LOUIS, MO 63124-1685
(314) 210-2001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2007003961
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477685477
NPI
MO
Enumeration date
09/18/2012
Last updated
09/18/2012
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