| Doctor Name: | MS. PEGGY SUZANNE PROBST |
| NPI Number: | 1215146402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, LPC |
| License Number: | 001070 |
| Business Practice Address: | 330 N Gore Ave Webster Groves, MO - 631191600 |
| Business Phone Number: | 3149682060 |
| Business Fax Number: | |
| Mailing Address: | 434 Oak Tree Dr, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631194849 |
| Phone Number: | 3149636321 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 001070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |