Individual
DR. GEORGIANNE DELL DUNCAN-HIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., J.D.
Contact information
Practice address
300 OZARK TRAIL DR, SUITE 220, ELLISVILLE, MO 63011-2166
(314) 580-5346
(636) 398-6845
Mailing address
PMB 286, 1324 CLARKSON CLAYTON CENTER, ELLISVILLE, MO 63011
(314) 580-5346
(636) 398-6845
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
D1007
MO
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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