Individual
RUTH DAVIES SULSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, MENTAL HEALTH 116/JB, SAINT LOUIS, MO 63125-4181
(314) 894-6653
(314) 894-5783
Mailing address
1 JEFFERSON BARRACKS DR, MENTAL HEALTH 116/JB, SAINT LOUIS, MO 63125-4181
(314) 894-6653
(314) 894-5783
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PY 01441
MO
103TC0700X
Clinical Psychologist
Primary
PY 01441
MO
103TR0400X
Rehabilitation Psychologist
PY 01441
MO
Other
Enumeration date
04/11/2006
Last updated
07/10/2007
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