Alexis Calliope Nicole Reddig
Psychologist, Counseling in Fulton, MO. Individual provider (NPI-1).
NPI number1982240438
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1982240438
- Entity type
- Individual (NPI-1)
- Name
- Alexis Calliope Nicole Reddig
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 2019012780 | MO | Yes |
Practice location
600 E 5th StFulton, MO 65251-1753
Phone 573-592-2605
Mailing address
600 E 5th StFulton, MO 65251-1753
Phone 573-592-4100
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