SearchMissouri103TC0700X

Molly Wickenhauser, PHD

NPI 1538711189 · on the registry since 2019

Practice

Address
915 N Grand Blvd
Saint Louis, MO 63106
Phone
(314) 652-4100
Organisation at this address
Vamc St. Louis Mo
Va Medical Center
St. Louis Jc Vamc
St. Louis Jc Vamc
Va Heartland-East, Visn 15
Inferred from a shared address, not stated in the registry.
Clinicians at this address
678

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri