Provider Demographics
NPI:1073551404
Name:KLORER, PATRICIA (PHD, LCSW, LCPC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:KLORER
Suffix:
Gender:F
Credentials:PHD, LCSW, LCPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:GUSSIE
Other - Last Name:KLORER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LCSW, LCPC
Mailing Address - Street 1:7440 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2924
Mailing Address - Country:US
Mailing Address - Phone:314-725-5195
Mailing Address - Fax:
Practice Address - Street 1:200 S BEMISTON AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-1915
Practice Address - Country:US
Practice Address - Phone:314-721-5199
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0026531041C0700X
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor