Organization
GARRY VICKAR & ASSOCIATES
Active
Other names
Vickar Tilzer & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA W HARRIS (OFFICE MANAGER)
(314) 837-4900
Entity
Organization
Contact information
Practice address
11125 DUNN RD, 213, ST LOUIS, MO 63136
(314) 837-4900
(314) 837-5646
Mailing address
11125 DUNN RD, 213, ST LOUIS, MO 63136
(314) 837-4900
(314) 837-5646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
180000336
IL
1041C0700X
Clinical Social Worker
003196
MO
2084P0800X
Psychiatry Physician
Primary
R5051
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502992407
—
MO
Enumeration date
03/09/2007
Last updated
12/16/2008
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