NPI 1154428076

Nicole R. Kruger, PSYD

Practitioner Clinical Psychologist Ellisville, MO

Practice location

Address: 249 Clarkson Rd Suite 102, Ellisville, MO 63011-2219
Phone: (515) 557-0560

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2010042353 (MO)

Other Psychologist providers in Missouri →

Registry record

NPI: 1154428076
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 23 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.