Organization
FLORISSANT PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FREDRICK DETRICK (PRESIDENT)
(314) 837-7828
Entity
Organization
Contact information
Practice address
701 SAINT FRANCOIS ST, FLORISSANT, MO 63031-4921
(314) 837-7828
Mailing address
701 ST. FRANCOIS, FLORISSANT, MO 63031-4921
(314) 837-7828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000043
MO
101Y00000X
Counselor
001427
MO
103T00000X
Psychologist
00843
MO
103T00000X
Psychologist
Primary
2006029901
MO
Other
Enumeration date
03/02/2007
Last updated
09/11/2025
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