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NPI 1386233989

NPI 1386233989 : MEGAN FERRIBY FERBER PH.D. : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1386233989
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN FERRIBY FERBER PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2021
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    Last Update Date     |    01/18/2021
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Provider Practice Location Address
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    Address Line         |    4218 HARTFORD ST 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63116-1906
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    Country              |    US
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    Telephone            |    248-227-9323
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4218 HARTFORD ST 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63116-1906
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    Country              |    US
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    Telephone            |    248-227-9323
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    4101006913
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    2020006989
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    License Number State |    MO
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