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General NPI Number Information
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NPI Number | 1730208984
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL TESTING & COUNSELING ASSOC INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7657 TERRI LYNN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63123-1674
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Country | US
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Telephone | 314-832-1077
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Fax | 314-832-3037
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Provider Business Mailing Address
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Address Line | 141 N MERAMEC AVE SUITE 112
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City | CLAYTON
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State | MO
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Zip | 63105-3750
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Country | US
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Telephone | 314-832-1077
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Fax | 314-832-3037
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN EDWARD O'BRIEN
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Credential |
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Telephone | 314-832-1077
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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 | 00331
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001759
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License Number State | MO
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