NPI 1689627150

Paul Fredrick Detrick, PHD

Practitioner Clinical Psychologist Florissant, MO

Practice location

Address: 701 Saint Francois St, Florissant, MO 63031-4921
Phone: (314) 837-7828
Fax: (314) 837-2572
Mailing address: 152 Plant Ave, Webster Groves, MO 63119-3028

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 00843 (MO)

Other Psychologist providers in Missouri →

Registry record

NPI: 1689627150
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2006
Record last updated: 8 Jul 2007

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.