Organization
JODI GLAUS PINGEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI GLAUS PINGEL PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(636) 891-9760
Entity
Organization
Contact information
Practice address
300 OZARK TRAIL DR, SUITE 217, ELLISVILLE, MO 63011-2166
(636) 891-9760
(636) 891-9765
Mailing address
300 OZARK TRAIL DR, SUITE 217, ELLISVILLE, MO 63011-2166
(636) 891-9760
(636) 891-9765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2003030079
MO
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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