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Provider Information for 1427420314


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Ms. BARBARA MARLENE EDELMAN M.A., P.L.P.C.


Sex: Female

NPI: 1427420314
Last Updated: 2015-10-30
Certification Date:

Details

NameValue
NPI1427420314
Enumeration Date2015-10-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1286 JUNGERMAN RD. SUITE G
ST. PETERS, MO 63376
United States

Phone: 636-498-0700 | Fax:
 
Primary Practice Address 1286 JUNGERMAN RD. SUITE G
ST. PETERS, MO 63376
United States

Phone: 636-498-0700 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor MO2013038283