MEDICARE: CATHERINE A. FEUER, PH.D., LLC

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	103TB0200X	Cognitive & Behavioral Psychologist		MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	601877500	OTHER	MO	OFFICE OF WORKER'S COMP, US DEPT OF LABOR

General Provider Information

NPI Number	:	1679904510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE A. FEUER, PH.D., LLC

Provider Business Mailing Address
First Line	:	130 S BEMISTON AVE
Second Line	:	SUITE 710
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-1913
Country	:	US
Telephone Number	:	314-971-0883
Fax Number	:	314-863-6065

Provider Business Practice Location Address
First Line	:	130 S BEMISTON AVE
Second Line	:	SUITE 710
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-1913
Country	:	US
Telephone Number	:	314-971-0883
Fax Number	:	314-863-6065

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CATHERINE ALEXANDRA FEUER
Credential	:	PH.D.
Telephone Number	:	314-971-0883

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	12/03/2013

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