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Phoenix Psychological Group, Inc
Prescribing (Medical) Psychologist in Saint Louis, Missouri
NPI 1386767994

Phoenix Psychological Group, Inc is a Prescribing (Medical) Psychologist based in Saint Louis, MO and is specialized in Prescribing (Medical). Phoenix Psychological Group, Inc practices in Saint Louis, MO. The NPI Number for Phoenix Psychological Group, Inc is 1386767994 and holds a License No. PY01201 (Missouri).

The current practice location address for Phoenix Psychological Group, Inc is 225 S Meramec Ave, Saint Louis, MO and can be reached out via phone at 314-863-3588 and via fax at 314-863-0074.

Location: 225 S Meramec Ave, Saint Louis, MO, 63105-3596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386767994
Provider Name
Phoenix Psychological Group, Inc
Credential
Provider Entity Type
Organization
Address
225 S Meramec Ave, Saint Louis, MO, 63105-3596
Phone Number
314-863-3588
Fax Number
314-863-0074
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493257802 05 MO
1245254317 01 MO NPI-PATRICIA SHAW
institution
Provider Business Practice Location Address Details
Address
225 S Meramec Ave
City
Saint Louis
State
Missouri
Zip
63105-3596
Phone Number
314-863-3588
Fax Number
314-863-0074
person
Provider Business Mailing Address Details
Address
225 S Meramec Ave
City
Saint Louis
State
Missouri
Zip
63105-3596
Phone Number
314-863-3588
Fax Number
314-863-0074
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
PY01201 (Missouri)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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