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

Individual provider Psychologist · NPI 1518023803

Dr. Kathleen Geryl Petersen, PHD is a Psychologist in St. Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7106 Dale Ave
St. Louis, MO 63117-1927
Phone: (314) 647-5522
Fax: (314) 827-0067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PYRO278 (MO)

Record details

NPI number1518023803
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESJuly 12, 2010

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