Individual
CHRISTINA A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4111
Mailing address
611 AMBER TREE CT, COLUMBIA, IL 62236-2762
(314) 393-6965
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006034086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366553281
NPI
MO
05
—
491898706
—
MO
Enumeration date
08/31/2006
Last updated
03/18/2024
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