Organization
TRACEY R. FINTEL, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY R FINTEL PHD (SOLE MEMBER)
(314) 725-1515
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD, SUITE 133, SAINT LOUIS, MO 63124-1685
(314) 725-1515
(314) 222-6321
Mailing address
9890 CLAYTON RD, SUITE 133, SAINT LOUIS, MO 63124-1685
(314) 725-1515
(314) 222-6321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LC1185766
MO
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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