| Affiliated Psychotherapist | |
|
777 S New Ballas Rd Suite 334 E. Saint Louis MO 63141-8705 | |
| (314) 991-7779 | |
| (314) 991-7779 |
| Full Name | Affiliated Psychotherapist |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 777 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Steven Joseph Tenenbaum (DIRECTOR) |
| Authorized Official Contact | 3149917779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Psychotherapist 777 S New Ballas Rd Suite 334 E. Saint Louis MO 63141-8705 Ph: (314) 991-7779 | Affiliated Psychotherapist 777 S New Ballas Rd Suite 334 E. Saint Louis MO 63141-8705 Ph: (314) 991-7779 |
| NPI Number | 1548205024 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548205024 | NPI | - | NPPES |
| 12204 | Other | MO | BLUE CROSS BLUE SHIELD PR |
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