Healthcare Provider Details
I. General information
NPI: 1760839476
Provider Name (Legal Business Name): ERIKA RENEE FRANTA BRETSCHER MA PLMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5614 HAMPTON AVE
SAINT LOUIS MO
63109-3434
US
IV. Provider business mailing address
5614 HAMPTON AVE
SAINT LOUIS MO
63109-3434
US
V. Phone/Fax
- Phone: 512-572-4215
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 2026003826 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: