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Contact Information

GARRY VICKAR & ASSOCIATES
11125 DUNN RD
213
SAINT LOUIS, MO63136
 Phone: 314-837-4900
 Fax: 314-837-5646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for GARRY VICKAR ASSOCIATES · (Female)

NPI Number 1780716696
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2007
Last updated 12/16/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 180000336
  • MO License # 003196
  • MO License # R5051
  • MO Medicaid 502992407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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