IndividualActive
Kenneth Bohm, PH.D.
NPI 1831296649 · Addiction (Substance Use Disorder) Psychologist · Saint Louis, MO
Provider details
- NPI number
- 1831296649
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00017 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8515 Delmar Blvd
Suite 220
Saint Louis, MO 63124-2168
Phone: (314) 567-1044
Fax: (314) 567-1060
Approximate (ZIP-level) locationGet directions
Mailing address
8515 Delmar Blvd
Saint Louis, MO 63124-2168
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.