Vlietstra, Alice G

Vlietstra, Alice G is an individual health care provider with primary practice located at 745 Craig Rd Ste 102C , Saint Louis MO 63141-7122. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Vlietstra, Alice G can be contacted via phone (314) 729-2855.

Contact Information

Primary practice address
745 Craig Rd Ste 102C Saint Louis MO 63141-7122
Phone: (314) 729-2855
Fax: (314) 529-3534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 01089 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 300075 Missouri

Profile Details

NPI number 1841324753
LBN Legal business name Vlietstra, Alice G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 27th, 2025 - about last year

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 1841324753 NPPES
Missouri Other 1601 BLUE CROSS BLUE SHIELD
Missouri Other 075243 BLUE CROSS BLUE SHIELD

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