Rosemary Pates
Individual provider Active NPI Psychoanalyst · Saint Louis, MO
NPI 1568689727 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1568689727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- 04101 (MO)
- Practice address
- 1717 Biddle St
Murphy O'Fallon Health Clinic
Saint Louis, MO 63106-3454 - Phone
- (314) 814-8632
- Fax
- (314) 814-8542
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04101 | MO | MD | Psychoanalyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 04101 | MO | Yes |
Addresses
Primary practice location
1717 Biddle St
Murphy O'Fallon Health Clinic
Saint Louis, MO 63106-3454
Mailing address
6418 Lake Paddock Dr
Florissant, MO 63033-4927
Phone (314) 775-9202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004101 | Other | MO | LICENSED CLINICAL SW |
Other providers in Saint Louis, MO
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- Vimita Patel
- Yogi Patel
- Zalak Vipul Patel
- Anjali K Pathak
- Nibesh Pathak
- Sheel Jitendra Pathak
- Joshy Thomas Pathiparampil
- Pathless Journey LLC
All providers in Saint Louis, MO · Psychoanalyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.