Individual
KAREN A MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
116 S LINCOLN DR, TROY, MO 63379-1418
(636) 528-1996
(636) 528-1833
Mailing address
116 S LINCOLN DR, TROY, MO 63379-1418
(636) 528-1996
(636) 528-1833
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
01527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493457824
—
MO
Enumeration date
01/02/2006
Last updated
04/30/2008
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