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NPI Code Detail

MEDICARE: MRS. KATHERINE ELIZABETH EARLY L.P.C.

MEDICARE:  MRS. KATHERINE ELIZABETH EARLY  L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2006005204MO

General Provider Information

NPI Number : 1043532245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE ELIZABETH EARLY L.P.C.
Provider Business Mailing Address
First Line : 1606 S BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-2208
Country : US
Telephone Number : 314-640-7437
Fax Number : 314-645-5135
Provider Business Practice Location Address
First Line : 1606 S BIG BEND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-2208
Country : US
Telephone Number : 314-640-7437
Fax Number : 314-645-5135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2010
Last Update Date : 11/11/2020

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Directions to “ MRS. KATHERINE ELIZABETH EARLY L.P.C.” Practice Location

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