Individual
DR. MARY BETH SUMMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
425 S WOODS MILL RD STE 150, TOWN AND COUNTRY, MO 63017-9528
(636) 939-2550
(314) 627-4978
Mailing address
425 S WOODS MILL RD STE 150, TOWN AND COUNTRY, MO 63017-9528
(636) 939-2550
(314) 627-4978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2018043945
MO
103TC0700X
Clinical Psychologist
Primary
PSY001432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000462294D
—
GA
Enumeration date
10/17/2006
Last updated
01/29/2026
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