Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 42 | MO |
N | 103T00000X | Psychologist | 42 | MO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 42 | MO |
Y | 103G00000X | Clinical Psychologist | 42 | MO |
Y | 103TC0700X | Clinical Psychologist | 42 | MO |
NPI | 1104981463 |
---|---|
Provider Name | Dr. Frank H Gilner |
First Address | Kirkwood, MO 63122-6320 |
Second Address | Kirkwood, MO 63122-6320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 22/05/2009 |