MEDICARE: DR. RACHEL ANN WAMSER PHD

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
1	101Y00000X	Counselor
2	103TC0700X	Clinical Psychologist	2014037442	MO

General Provider Information

NPI Number	:	1932461183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL ANN WAMSER PHD

Provider Business Mailing Address
First Line	:	UNIVERSITY OF MISSOURI ST. LOUIS 1 UNIVERSITY
Second Line	:	NATURAL BRIDGE ROAD
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121
Country	:	US
Telephone Number	:	314-307-0760
Fax Number	:	504-988-6451

Provider Business Practice Location Address
First Line	:	102 TURF CT # 8055
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-4622
Country	:	US
Telephone Number	:	314-307-0760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	10/16/2023

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