Provider Demographics
NPI:1225114515
Name:YUNKER, JOHN A (MS LIC PSYCHO)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:YUNKER
Suffix:
Gender:M
Credentials:MS LIC PSYCHO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S MERAMEC AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3511
Mailing Address - Country:US
Mailing Address - Phone:314-727-7266
Mailing Address - Fax:314-994-1929
Practice Address - Street 1:225 S MERAMEC AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3511
Practice Address - Country:US
Practice Address - Phone:314-727-7266
Practice Address - Fax:314-994-1929
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPSY 00875103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist