Provider Demographics
NPI:1184962623
Name:BEGIC-GUSIC, MURISA (PSYD)
Entity type:Individual
Prefix:DR
First Name:MURISA
Middle Name:
Last Name:BEGIC-GUSIC
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 FERN RIDGE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-4405
Mailing Address - Country:US
Mailing Address - Phone:314-275-8599
Mailing Address - Fax:314-275-8299
Practice Address - Street 1:1215 FERN RIDGE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-4405
Practice Address - Country:US
Practice Address - Phone:314-275-8599
Practice Address - Fax:314-275-8299
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012041678103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical