Individual
DR. GRACE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
58 PORTWEST CT, SAINT CHARLES, MO 63303-5985
(636) 916-5800
(636) 916-0146
Mailing address
PO BOX 742, O FALLON, MO 63366-0742
(636) 896-6826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2012041100
MO
103T00000X
Psychologist
PSY 24372
CA
Other
Enumeration date
08/21/2009
Last updated
01/06/2014
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