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Individual

PAULA M. JUELICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6420 CLAYTON RD, 6TH FLOOR, SAINT LOUIS, MO 63117-1811
(314) 768-5205
(314) 768-5315
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPT., SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2003030080
MO
103TC0700X
Clinical Psychologist
2003030080
MO

Other

Enumeration date
06/30/2006
Last updated
10/19/2007
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