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NPI Code Detail

MEDICARE: DR. STEVEN KRAUSHAAR PSYD

MEDICARE:  DR. STEVEN  KRAUSHAAR  PSYD
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
1103TC0700XClinical Psychologist2007015268MO

General Provider Information

NPI Number : 1891768701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN KRAUSHAAR PSYD
Provider Business Mailing Address
First Line : 1201 BROOKINGS DR
Second Line : C B 1201
City : SAINT LOUIS
State : MO
Zip : 63130
Country : US
Telephone Number : 314-935-6666
Fax Number : 314-935-5781
Provider Business Practice Location Address
First Line : 1 BROOKINGS DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63130-4862
Country : US
Telephone Number : 314-935-6666
Fax Number : 314-935-8515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 10/23/2015

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Directions to “ DR. STEVEN KRAUSHAAR PSYD” Practice Location

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