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Individual

DR. KATHLEEN J BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 BROOKINGS DR, SAINT LOUIS, MO 63130-4862
(314) 935-6666
(314) 935-8515
Mailing address
3157 GENTILLY BLVD # 6490, NEW ORLEANS, LA 70122-3872
(504) 290-0134

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006029891
MO
103TC0700X
Clinical Psychologist
LP6497
MN

Other

Enumeration date
01/24/2007
Last updated
12/23/2025
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