Organization
ST. CHARLES WEST PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SLOAN (OWNER)
(636) 332-5050
Entity
Organization
Contact information
Practice address
600 MEDICAL DR, WENTZVILLE, MO 63385-3426
(636) 332-5050
Mailing address
600 MEDICAL DR, WENTZVILLE, MO 63385-3426
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01486
MO
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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