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Organization

D. EARLY, PH.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA J EARLY PH.D. (PRESIDENT, LICENSED PSYCHOLOGIST)
(314) 894-2900
Entity
Organization

Contact information

Practice address
6220 S LINDBERGH BLVD, SUITE 300, SAINT LOUIS, MO 63123-7839
(314) 894-2900
(314) 894-2960
Mailing address
6220 S LINDBERGH BLVD, SUITE 300, SAINT LOUIS, MO 63123-7839
(314) 894-2900
(314) 894-2960

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2006028096
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11798822
CAQH
MO
01
1649347329
NPIN AS AN INDIVIDUAL PROVIDER
MO
Enumeration date
02/09/2011
Last updated
02/09/2011
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