Joshua Paul Beaman-Kogan, PSY. D.
Individual provider Active NPI Clinical Psychologist · Saint Louis, MO
NPI 1376980326 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1376980326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2013015410 (MO)
- Practice address
- 1 University Blvd # 232
Stadler Hall
Saint Louis, MO 63121-4400 - Phone
- (314) 516-5824
- Fax
- (314) 516-5347
- NPI assigned
- May 31, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2013015410 | MO | Yes |
Addresses
Primary practice location
1 University Blvd # 232
Stadler Hall
Saint Louis, MO 63121-4400
Mailing address
1 University Blvd # 232
Stadler Hall
Saint Louis, MO 63121-4400
Phone (314) 516-5824
Other providers in Saint Louis, MO
- Catherine E Beal
- Ebony N Beal
- Heather Marie Beal
- Lauren Angela Beal
- Denise Leigh Beale
- Dorothy S Beaman
- Morgan T Beaman
- Catherine Renee Bean
- Evette Dejon Bean
- Jessica L Bean
All providers in Saint Louis, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.