Dr. Alice G Vlietstra is a Maryland Heights, Missouri based psychologist with 51 years of experience in Health Service Psychology. She completed her graduation in 1973. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Alice G Vlietstra is 01089 for Health Service Psychology in Missouri. Her current practice location is 12131 Dorsett Rd, Suite 220, Maryland Heights. Patients can reach her at 314-729-2855 or can fax her at 314-298-9274. Dr. Alice G Vlietstra is PH.D. in Health Service Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1841324753. Dr. Alice G Vlietstra is certified/licensed at the independent practice level in his/her state, and is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Complete Profile:
Dr. Alice G Vlietstra speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Alice G Vlietstra
Specialization:
Health Service Psychology
Gender:
Female
Credentials:
PH.D.
Experience:
51+ years
Medical School Attended:
Other
Graduation Year:
1973
Accepts Medicare Assignment:
Yes
Practice Address:
12131 Dorsett Rd, Suite 220, Maryland Heights, Missouri, 63043-2418
Phone:
314-729-2855
Fax:
314-298-9274
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9537328059
Enrollment ID:
I20120301000855
NPI Number:
1841324753
NPI Enumeration Date:
15 Mar, 2007
NPI Last Update On:
25 Aug, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alice G Vlietstra are as mentioned below.
License Number
Specialization
State
Status
01089
Health Service Psychology
Missouri
Primary
300075
Marriage & Family Therapist
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Alice G Vlietstra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1601
Other
Missouri
BLUE CROSS BLUE SHIELD
075243
Other
Missouri
VALUE OPTIONS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Alice G Vlietstra 3042 Andover Dr, Saint Louis, Missouri
Zip:
63121-4606
Phone Number:
314-882-5537
Fax Number:
314-298-9274
Patients can reach Dr. Alice G Vlietstra at 12131 Dorsett Rd, Suite 220, Maryland Heights, Missouri or can call to book an appointment on 314-729-2855.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.