MEDICARE: MR. ROBERT GERARD GIEGLING LPC

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
1	101YP2500X	Professional Counselor	CS002271	MO

General Provider Information

NPI Number	:	1154524544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT GERARD GIEGLING LPC

Provider Business Mailing Address
First Line	:	175 SPRING OAKS DR
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-3878
Country	:	US
Telephone Number	:	636-394-8168
Fax Number	:

Provider Business Practice Location Address
First Line	:	1353 N WARSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-1807
Country	:	US
Telephone Number	:	314-989-9727
Fax Number	:	314-989-9709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

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