| NPI | 1043109887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKINZIE DUESENBERG-MARSHALL Owner/Licensed Psychologist 314-960-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2026-02-12 |