| Doctor Name: | DR. GEORGIANNE DELL DUNCAN-HIVELY |
| NPI Number: | 1306915269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., J.D. |
| License Number: | D1007 |
| Business Practice Address: | 300 Ozark Trail Dr Suite 220 Ellisville, MO - 630112166 |
| Business Phone Number: | 3145805346 |
| Business Fax Number: | 6363986845 |
| Mailing Address: | Pmb 286, 1324 Clarkson Clayton Center ELLISVILLE |
| State: | MO |
| Postal Code: | 63011 |
| Phone Number: | 3145805346 |
| Fax Number: | 6363986845 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | D1007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |