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LAURA NICOLE PINGRY PH. D

Clinical Neuropsychologist

Saint Louis, Missouri

Provider NPI: 1811184294

Provider Information:
 LAURA NICOLE PINGRY PH. D
Gender: F
Not Sole Proprietor

Practice Location:
1717 BIDDLE ST MURPHY PARK -- O;FALLON HEALTH CLINIC SAINT LOUIS, MO 63106 US
Tel: 314-814-8634  Fax: --

Business Mailing Address:
MURPHY PARK -- O;FALLON HEALTH CLINIC 1717 BIDDLE ST, LOUIS, MO 63106 US
Tel: 314-814-8634  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MO2004009602

Other Provider Identifiers:

IssuerNumberStateType
2004009602MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MO - Page 1



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