Individual
JESSICA FEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-4602
(314) 454-4013
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-4602
(314) 454-4013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS017032
PA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
06/13/2008
Last updated
09/06/2011
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