Provider Demographics
NPI:1073568069
Name:BOEVER, PATRICIA M (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:M
Last Name:BOEVER
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
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Mailing Address - Street 1:8772 BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-3730
Mailing Address - Country:US
Mailing Address - Phone:314-962-7788
Mailing Address - Fax:314-962-4158
Practice Address - Street 1:8772 BIG BEND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-3730
Practice Address - Country:US
Practice Address - Phone:314-962-7788
Practice Address - Fax:314-962-4158
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOPY00151103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO143241OtherCOMPSYCH
MO886503OtherFIRST HEALTH
MO009001OtherVALUE OPTIONS
MO286897OtherMANAGED HEALTH NETWORK
MO44494OtherCIGNA BEHAVIORAL HEALTH
MO5935265OtherAETNA BEHAVIORAL HEALTH
MOR00664OtherMERCY HEALTH PLANS
MO17912OtherBLUE CROSS BLUE SHIELD
MO399033OtherDIV OF FAMILY SEVCS
MO458408OtherMAGELLAN BEHAVIORAL HEALT