MRS. SHELLEY LIST


Address: 7741 Gannon Ave, Saint Louis, MO 63130-2822
Phone: 3147259078

MRS. SHELLEY LIST (NPI# 1518136589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518136589
Entity Type Individual
Full Name MRS. SHELLEY LIST
Credential M. ED. BCBA
Practice Address 7741 Gannon Ave
Saint Louis
MO 63130-2822
Practice Telephone 3147259078
Mailing Telephone 3147259078
Enumeration Date 2008-02-25
Last Update Date 2008-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
1-03-1348 MO Behavioral Health & Social Service Providers
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
1-03-1348 MO Behavioral Health & Social Service Providers

Office Location

Street Address 7741 GANNON AVE
City SAINT LOUIS
State MO
Zip Code 63130-2822

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568008282 Latrece Smith Social Worker 1270 North and South Road, St. Louis, MO 63130 2019-11-18
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1548612419 Bella Home Care LLC In Home Supportive Care 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 2016-07-05
1225487341 Daniel Shenderov Chore Provider 8127 Delmar Blvd #208, Saint Louis, MO 63130 2016-06-09
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1306150958 Lisa J. Mcdonald, Dmd, Inc. Dentist 7247 Delmar Boulevard, St Louis, MO 63130 2010-08-05
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871002865 Denay M Reynolds Psychologist 5261 Delmar Blvd Ste 207, Saint Louis, MO 63108-1094 2017-09-22
1225156912 Maria Renee Carron Psychologist 6614 Clayton Rd, #179, Saint Louis, MO 63117-1602 2007-03-27
1699892885 Michael Arthur Mcleod Psychologist 724 Rolfe Dr, Saint Louis, MO 63122-1648 2007-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770105793 Emily Mirriam Morgan IIi Psychologist 1013 Winnie St, Poplar Bluff, MO 63901-6457 2020-05-13
1720565286 Tonalisha Monique Sullivan Psychologist 5730 Garfield Ave, Kansas City, MO 64130-3340 2018-07-26
1770757841 Wildwood Cottage Psychologist 11212 E 71st St, Raytown, MO 64133-6801 2008-04-18
1407026057 Mary L. Hester Psychologist 3128 St. Vincent Ave, St. Louis, MO 63104-1418 2008-03-10
1437327426 All Action Contractors Psychologist 3530 Locust St, Kansas City, MO 64109-2263 2008-02-13
1255516621 Merrick Care Corp Psychologist 100 20th Ave S, Greenwood, MO 64034-8611 2008-01-04
1598988669 Vera Goodloe Rice Psychologist 895 Graham Rd, Florissant, MO 63031-7051 2007-04-10
1811029440 Nova Center of The Ozarks Inc. Psychologist 524 S Union Ave, Springfield, MO 65802-2660 2007-03-09
1245370923 Integrity Lifeskills LLC Psychologist Bremond St 506, Versailles, MO 65084 2007-02-08
1508925025 Prc Enterprises Psychologist 650 Vine St, Poplar Bluff, MO 63901-5039 2006-12-08
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Competitor

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City SAINT LOUIS
Zip Code 63130

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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