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NPI Code Detail

MEDICARE: DR. ROBERT EDWARD SCHLITT PH.D.

MEDICARE: DR. ROBERT EDWARD SCHLITT PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist000673MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125879OTHERMOANTHEM BCBS INSURANCE CO

General Provider Information

NPI Number : 1013031806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT EDWARD SCHLITT PH.D.
Provider Business Mailing Address
First Line : 9116 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3919
Country : US
Telephone Number : 314-961-5511
Fax Number : 314-961-5511
Provider Business Practice Location Address
First Line : 9116 BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-3919
Country : US
Telephone Number : 314-961-5511
Fax Number : 314-961-5511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 07/08/2007

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