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Contact Information

KENNETH H BOHM, PhD
8515 DELMAR BLVD
SUITE 220
SAINT LOUIS, MO63124-2168
 Phone: 314-567-1044
 Fax: 314-567-1060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENNETH H BOHM · (Male)

NPI Number 1831296649
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/20/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 00017
  • Other 339528 BJC BEHAVIORAL HEALTH
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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