Organization
CHRISTIAN COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL I PENDERGRASS MA (PSYCHOLOGIST)
(314) 298-0900
Entity
Organization
Contact information
Practice address
12131 DORSETT RD, SUITE 220, MARYLAND HEIGHTS, MO 63043-2418
(314) 298-0900
(314) 298-9274
Mailing address
12131 DORSETT RD, SUITE 220, MARYLAND HEIGHTS, MO 63043-2418
(314) 298-0900
(314) 298-9274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 01632
MO
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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