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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

NPI Number 1780716696
LBN Legal business name GARRY VICKAR & ASSOCIATES
Authorized official RITA HARRIS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 12/16/2008 - About 17 years ago
Identifiers
IL License # 180000336
MO License # 003196
MO License # R5051
MO Medicaid 502992407
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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