| Teresa L Deshields Phd Llc | |
|
225 S Meramec Ave Ste 432t Clayton MO 63105-3597 | |
| (314) 403-5415 | |
| Not Available |
| Full Name | Teresa L Deshields Phd Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 225 S Meramec Ave Ste 432t, Clayton, Missouri |
| Authorized Official Name and Position | Teresa L Deshields (OWNER) |
| Authorized Official Contact | 3144035415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa L Deshields Phd Llc 12 Tuscany Park Saint Louis MO 63105-3019 Ph: (314) 517-0531 | Teresa L Deshields Phd Llc 225 S Meramec Ave Ste 432t Clayton MO 63105-3597 Ph: (314) 403-5415 |
| NPI Number | 1013472703 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013472703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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