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Contact Information

EMONA L EWHAREKUKO
2162 CHERRY AVE
SAINT LOUIS, MO63121-5625
 Phone: 314-526-1352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EMONA L EWHAREKUKO · (Female)

NPI # 1346647906
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2014
Last updated 11/26/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # S137338040
  • MO Medicaid 47-1693138
  • MO Medicaid 47-1693183
  • MO Other 47-1693183 BLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE, ETC
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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