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NPI 1205276532

NPI 1205276532 : FAMILY EDUCATIONAL SERVICES INC. D/BA JOHN A. YUNKER, INC. : CLAYTON, MO

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General NPI Number Information
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    NPI Number           |    1205276532
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY EDUCATIONAL SERVICES INC. D/BA JOHN A. YUNKER, INC. 
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Dates
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    Enumeration Date     |    07/01/2013
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    Last Update Date     |    07/01/2013
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Provider Practice Location Address
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    Address Line         |    225 S MERAMEC AVE SUITE 202
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    City                 |    CLAYTON
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    State                |    MO
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    Zip                  |    63105-3511
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    Country              |    US
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    Telephone            |    314-727-7266
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    Fax                  |    314-994-1929
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Provider Business Mailing Address
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    Address Line         |    225 S MERAMEC AVE SUITE 202
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    City                 |    CLAYTON
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    State                |    MO
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    Zip                  |    63105-3511
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    Country              |    US
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    Telephone            |    314-727-7266
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    Fax                  |    314-994-1929
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Authorized Official
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    Title or Position    |    PSYCHOLOGIST
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    Name                 |    MR. JOHN A YUNKER 
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    Credential           |    M.S.
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    Telephone            |    314-727-7266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    00875
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    License Number State |    MO
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