Werner, Nicole J

Werner, Nicole J is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 2600, Saint Louis MO 63108-2212. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Werner, Nicole J can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4444 Forest Park Ave Ste 2600 Saint Louis MO 63108-2212
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2005024719 Missouri

Profile Details

NPI number 1700802022
LBN Legal business name Werner, Nicole J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 15th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700802022 NPPES
Missouri MEDICAID 490086663

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