Individual
EVA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7733 FORSYTH BLVD FL 11, CLAYTON, MO 63105-1878
(314) 632-6341
Mailing address
4567 W PINE BLVD APT 314, SAINT LOUIS, MO 63108-2175
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2025019735
MO
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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