Dr Kathleen Geryl Petersen, PHD - Psychologist in St. Louis, MO

Dr Kathleen Geryl Petersen, PHD is a Psychologist based in St. Louis, Missouri. Dr Kathleen Geryl Petersen is licensed to practice in Missouri (license number PYRO278) and her current practice location is 7106 Dale Avenue, St. Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 647-5522.

NPI number for Dr Kathleen Geryl Petersen is 1518023803 and her current mailing address is 7106 Dale Ave, Richmond Heights, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518023803.

Contact Information

Dr Kathleen Geryl Petersen, PHD
7106 Dale Avenue,
St. Louis, MO 63117-1927
(314) 647-5522
(314) 827-0067



Healthcare Provider's Profile

Full NameDr Kathleen Geryl Petersen
GenderFemale
SpecialityPsychologist
Location7106 Dale Avenue, St. Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518023803
  • Provider Enumeration Date: 12/29/2006
  • Last Update Date: 07/12/2010

Medical Identifiers

Medical identifiers for Dr Kathleen Geryl Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518023803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PYRO278 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathleen Geryl Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathleen Geryl Petersen, PHD
7106 Dale Ave,
Richmond Heights, MO 63117-1927

Ph: (314) 647-5522
Dr Kathleen Geryl Petersen, PHD
7106 Dale Avenue,
St. Louis, MO 63117-1927

Ph: (314) 647-5522

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› Verified 3 days ago


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