Individual
HEATHER THEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
7410 ARLINGTON DR, RICHMOND HEIGHTS, MO 63117-2220
(816) 547-8993
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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