DR. THERESA M VAN ISEGHEM PSY.D. - NPI 1861716417 - Psychologist in Saint Louis, MO

Q: What is Theresa Van Iseghem's NPI number?

The NPI number for Theresa Van Iseghem is 1861716417. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Q: What is Theresa Van Iseghem's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Dr. Theresa M Van Iseghem Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA M VAN ISEGHEM PSY.D. (NPI 1861716417) is an individual clinical provider in Saint Louis, Missouri, licensed in Illinois (071007872) and active in the NPI registry since March 2010. She maintains a secondary practice location in Lake St Louis.

NPPES Registry Identity

NPI1861716417

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THERESA M VAN ISEGHEMCredential: PSY.D.

Location Address2727 WASHINGTON AVESaint Louis, MO 63103-1421

Mailing Address334 Pointe Loma BlvdLake St Louis, MO 63367-4301 · (314) 591-0093

Phone(314) 534-8778

Sole ProprietorNo

Enumeration DateMarch 24, 2010

Last NPPES UpdateApril 25, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1861716417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071007872

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2727 WASHINGTON AVE, Saint Louis, MO 63103

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Secondary Practice Location 1

Location 1334 Pointe Loma BlvdLake St Louis, MO 63367-4301 · Phone (314) 591-0093

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEVORAH GINN PSYD

Psychologist (Clinical)