Individual
PAUL FREDRICK DETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
701 SAINT FRANCOIS ST, FLORISSANT, MO 63031-4921
(314) 837-7828
(314) 837-2572
Mailing address
152 PLANT AVE, WEBSTER GROVES, MO 63119-3028
(314) 837-7828
(314) 837-2572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00843
MO
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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