Organization
KALEIDOSCOPE CENTER CORP
Active
Other names
Kaleidoscope Center For Autism and Neurodevelopment
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MINELLI PHD (OWNER/CLINICAL PSYCHOLOGIST)
(618) 221-9677
Entity
Organization
Contact information
Practice address
630 PIERCE BLVD STE 300, O FALLON, IL 62269-2583
(618) 221-9677
Mailing address
7020 FAIRBANKS ST, O FALLON, IL 62269-7076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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