MEDICARE: DR. DARYL PONCE PARUNGAO PHD

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	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1770205106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARYL PONCE PARUNGAO PHD

Provider Business Mailing Address
First Line	:	3800 PARK AVE FL 2
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2514
Country	:	US
Telephone Number	:	314-577-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 PARK AVE FL 2
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2514
Country	:	US
Telephone Number	:	314-577-5600
Fax Number	:

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

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	08/22/2025

Similar Medicare Providers

1356714893 — MICHELLE LYNN JOCHIM BLACK PH.D.
Practice Location Address:

3800 PARK AVE
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-577-5667
Practice Fax: 314-268-2784

1285145367 — EMILY PRICE LCSW
Practice Location Address:

3800 PARK AVE FL 2
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-268-2700
Practice Fax: 314-268-4028

1457910747 — BRITTNEY DANIELLE BYRTH MOT, OTR/L
Practice Location Address:

3800 PARK AVE FL 2
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-577-5609
Practice Fax:

1558992826 — MS. MARY CLARE MONAHAN LCSW
Practice Location Address:

3800 PARK AVE
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-268-2700
Practice Fax: 314-268-2748

1154089985 — MADELINE INCE MS CCC-SLP
Practice Location Address:

3800 PARK AVE FL 2
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-678-6648
Practice Fax: 314-268-4028

1164132700 — MOLLY KATHLEEN ORR
Practice Location Address:

3800 PARK AVE
SAINT LOUIS, MO
63110-2514

Practice Phone: 314-577-5609
Practice Fax:

Directions to “ DR. DARYL PONCE PARUNGAO PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.