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Mr. Roger J Fournelle JR., MEDLPCNCCNCP
Psychologist in Saint Louis, Missouri
NPI 1538138375

Roger J Fournelle JR. is a Psychologist based in St Louis, MO. Roger J Fournelle JR. practices in Saint Louis, MO and has the professional credentials of MEDLPCNCCNCP. The NPI Number for Roger J Fournelle JR. is 1538138375 and holds a License No. 61290 (Missouri).

The current practice location address for Roger J Fournelle JR. is 3720 Hampton Ave, Saint Louis, MO and can be reached out via phone at 314-559-4209 and via fax at 314-752-9445.

Location: 3720 Hampton Ave, Saint Louis, MO, 63116-3123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538138375
Provider Name
Roger J Fournelle JR.
Credential
MEDLPCNCCNCP
Provider Entity Type
Individual
Gender
Male
Address
3720 Hampton Ave, Saint Louis, MO, 63116-3123
Phone Number
314-559-4209
Fax Number
314-752-9445
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179068 01 MO BLUE CROSS BLUE SHIELD
7811255 01 AETNA
institution
Provider Business Practice Location Address Details
Address
3720 Hampton Ave
City
Saint Louis
State
Missouri
Zip
63109-1438
Phone Number
314-559-4209
Fax Number
314-752-9445
person
Provider Business Mailing Address Details
Address
3720 Hampton Ave
City
Saint Louis
State
Missouri
Zip
63109-1438
Phone Number
314-559-4209
Fax Number
314-752-9445
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
01194 ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2000152363 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
61290 ()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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