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D. EARLY PH.D. INC. NPI 1306142278


NPI Information

NPI: 1306142278
Provider Name: D. EARLY, PH.D., INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6220 S LINDBERGH BLVD
SUITE 300
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 894-2900
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D. EARLY, PH.D., INC. is a mental health (including community mental health center) clinic center in Saint Louis, MO. D. EARLY, PH.D., INC. NPI is 1306142278. The provider is registered as an organization entity type.

The provider's business location address is:

6220 S LINDBERGH BLVD
SUITE 300
SAINT LOUIS, MO
ZIP 63123-839
Phone: (314) 894-2900
Fax: (314) 894-2960

The provider's authorized official is Debra J Early .
The authorized official title is President, Licensed Psychologist and has the following contact phone number (314) 894-2900.

The enumeration date for this NPI number is 2/9/2011 and was last updated on 2/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2006028096MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649347329OTHERMISSOURINPIN AS AN INDIVIDUAL PROVIDER
2222920155MEDICARE PINMISSOURI
311798822OTHERMISSOURICAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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