Individual
DR. PEG A, MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
(618) 304-3989
Mailing address
23 SUGAR LN, COLLINSVILLE, IL 62234-6811
(618) 344-9155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00984
MO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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