Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alice G Vlietstra, PHD

Individual provider Health Service Psychologist · NPI 1841324753

Dr. Alice G Vlietstra, PHD is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 1973, 53 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
53
Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

745 Craig Rd Ste 102C
Saint Louis, MO 63141-7122
Phone: (314) 729-2855
Fax: (314) 529-3534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence 01089 (MO)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 300075 (MO)

Record details

NPI number1841324753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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