Provider Demographics
NPI:1679904510
Name:CATHERINE A. FEUER, PH.D., LLC
Entity Type:Organization
Organization Name:CATHERINE A. FEUER, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:FEUER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-971-0883
Mailing Address - Street 1:130 S BEMISTON AVE
Mailing Address - Street 2:SUITE 710
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-1913
Mailing Address - Country:US
Mailing Address - Phone:314-971-0883
Mailing Address - Fax:314-863-6065
Practice Address - Street 1:130 S BEMISTON AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-1913
Practice Address - Country:US
Practice Address - Phone:314-971-0883
Practice Address - Fax:314-863-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO601877500OtherOFFICE OF WORKER'S COMP, US DEPT OF LABOR