Petersen, Kathleen Geryl
Petersen, Kathleen Geryl is an sole proprietor health care provider with primary practice located at 7106 Dale Avenue , St. Louis MO 63117-1927. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Petersen, Kathleen Geryl can be contacted via phone (314) 647-5522.Contact Information
Primary practice address
7106 Dale Avenue
St. Louis MO 63117-1927
Phone: (314) 647-5522
Fax: (314) 827-0067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PYRO278 | Missouri |
Profile Details
| NPI number | 1518023803 |
|---|---|
| LBN Legal business name | Petersen, Kathleen Geryl |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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