Baetz-Davis, Cherie A

Baetz-Davis, Cherie A is an sole proprietor health care provider with primary practice located at 331 N New Ballas Rd Unit 410062 , Saint Louis MO 63141-0062. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Baetz-Davis, Cherie A can be contacted via phone (314) 804-3624.

Contact Information

Primary practice address
331 N New Ballas Rd Unit 410062 Saint Louis MO 63141-0062
Phone: (314) 804-3624
Fax: (314) 804-5336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01638 Missouri

Profile Details

NPI number 1366437196
LBN Legal business name Baetz-Davis, Cherie A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Mar 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366437196 NPPES
Missouri MEDICAID 496975814

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