Individual
DR. CHERIE A BAETZ-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
331 N NEW BALLAS RD UNIT 410062, SAINT LOUIS, MO 63141-0062
(314) 804-3624
(314) 804-5336
Mailing address
211 CARROLLTON LN, SAINT LOUIS, MO 63135-1225
(314) 804-3624
(314) 804-5336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01638
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496975814
—
MO
Enumeration date
09/19/2005
Last updated
03/22/2024
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