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EMONA LASHELLE EWHAREKUKO NPI 1346647906


NPI Information

NPI: 1346647906
Provider Name: EMONA LASHELLE EWHAREKUKO
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
2162 CHERRY AVE
SAINT LOUIS, MO
ZIP 63121
Phone: (314) 526-1352
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Emona Lashelle Ewharekuko is a health service psychologist in Saint Louis, MO. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Emona Lashelle Ewharekuko NPI is 1346647906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2162 CHERRY AVE
SAINT LOUIS, MO
ZIP 63121-625
Phone: (314) 526-1352

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/26/2014.


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
1103TH0100XPsychologistHealth ServiceS137338040MISSOURIYes

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
147-1693138MEDICAIDMISSOURI
247-1693183OTHERMISSOURIBLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE, ETC
347-1693183MEDICAIDMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.