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Individual

MR. ROBERT WAYNE PULCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD PSYCHOLOGIST

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00404
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06714038
BCBS
MO
01
7587473001
MEDICAID QMB
MO
Enumeration date
02/09/2006
Last updated
07/13/2026
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