Individual
DR. CAROLYN ASHLEY MYLES VERSICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7710 CARONDELET AVE STE 304, CLAYTON, MO 63105-3319
(143) 918-0303
(833) 969-0194
Mailing address
7710 CARONDELET AVE STE 304, CLAYTON, MO 63105-3319
(314) 391-8030
(833) 969-0194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009714
IL
103TC0700X
Clinical Psychologist
Primary
2019018304
MO
Other
Enumeration date
08/12/2016
Last updated
09/03/2024
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