Individual
DR. JESSICA RENEE LUITJOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5609
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071010041
IL
103TC0700X
Clinical Psychologist
Primary
2009007173
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164952719
—
AR
Enumeration date
06/01/2007
Last updated
05/02/2025
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