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Individual

TIMOTHY J. JOVICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8772 BIG BEND BLVD, SAINT LOUIS, MO 63119-3730
(314) 962-7788
(314) 962-4158
Mailing address
8772 BIG BEND BLVD, SAINT LOUIS, MO 63119-3730
(314) 962-7788
(314) 962-4158

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PRY0037
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
077439
VALUE OPTIONS
MO
01
093726
MAGELLAN
MO
01
115260
BCBS
01
135668
COMPSYCH
MO
01
887579
FIRST HEALTH
MO
Enumeration date
09/17/2006
Last updated
07/08/2007
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