Healthcare Provider Details

I. General information

NPI: 1215503388
Provider Name (Legal Business Name): FELICITAS ANNA HUBER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2021
Last Update Date: 04/14/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 PARKVIEW PL DIV ANES PAIN MGT, STE 14B
SAINT LOUIS MO
63110-1032
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-747-0202
  • Fax: 314-286-2675
Mailing address:
  • Phone: 314-747-0202
  • Fax: 314-286-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2025011817
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: