Individual
LISA ANN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 DONOVAN AVE, SAINT LOUIS, MO 63109-2631
(314) 481-4095
Mailing address
2335 LEWIS LN, VILLA RIDGE, MO 63089-2655
(636) 226-7717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0385912
MO
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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