Individual
DR. JOHN PAUL WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 881-3487
(314) 534-7996
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 881-3487
(314) 534-7996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2020009163
MO
Other
Enumeration date
07/06/2018
Last updated
05/25/2022
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