Individual
JENNIFER ALLEN LISCHWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6069
(314) 454-4013
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6069
(314) 454-4013
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3285
TN
Other
Enumeration date
01/25/2017
Last updated
11/15/2022
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