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Gateway Psychiatric Group, Llc
Prescribing (Medical) Psychologist in Creve Coeur, Missouri
NPI 1902244825

Gateway Psychiatric Group, Llc is a Prescribing (Medical) Psychologist based in Creve Coeur, MO and is specialized in Prescribing (Medical). Gateway Psychiatric Group, Llc practices in Creve Coeur, MO. The NPI Number for Gateway Psychiatric Group, Llc is 1902244825 and holds a License No. 100250 (Missouri).

The current practice location address for Gateway Psychiatric Group, Llc is 11710 Old Ballas Rd, Creve Coeur, MO and can be reached out via phone at 314-567-1958 and via fax at 314-567-0037. You can also correspond with Gateway Psychiatric Group, Llc through the mailing address at 11710 OLD BALLAS RD, CREVE COEUR, MO - 63141-7076 (mailing address contact number: 314-567-1958).

Location: 11710 Old Ballas Rd, Creve Coeur, MO, 63141-7076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902244825
Provider Name
Gateway Psychiatric Group, Llc
Credential
Provider Entity Type
Organization
Address
11710 Old Ballas Rd, Creve Coeur, MO, 63141-7076
Phone Number
314-567-1958
Fax Number
314-567-0037
Provider Enumeration Date
06/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11710 Old Ballas Rd
City
Creve Coeur
State
Missouri
Zip
63141-7076
Phone Number
314-567-1958
Fax Number
314-567-0037
person
Provider Business Mailing Address Details
Address
11710 Old Ballas Rd
City
Creve Coeur
State
Missouri
Zip
63141-7076
Phone Number
314-567-1958
Fax Number
314-567-0037
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
100250 (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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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