Gerald L Cox, CLINICAL PSYCHOLOGIS
Individual provider Active NPI Clinical Psychologist · Weldon Spring, MO
NPI 1841966686 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1841966686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 01184 (MO)
- Practice address
- 5194 Rosemount Dr
Weldon Spring, MO 63304-7586 - Phone
- (314) 616-0701
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 01184 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01184 | MO | Yes |
Addresses
Primary practice location
5194 Rosemount Dr
Weldon Spring, MO 63304-7586
Mailing address
5194 Rosemount Dr
Weldon Spring, MO 63304-7586
Phone (314) 616-0701
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- Joyce Ann Crangle
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- Brittany Crouther
- Tami S Daigle
- Lawonda Manette Davis
All providers in Weldon Spring, 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 Aug 20, 2021. 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.