# ST LOUIS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLUCARE DEPT OF PSYCHIATRY-ADOLESCENT PSYCHIATRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740409325
- **Authorized official:** ALYCE LANXON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 977-6828

## Contact information

- **Practice address:** 1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
- **Practice address phone:** (314) 577-8734
- **Mailing address:** 3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
- **Mailing address phone:** (314) 977-6828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 09/21/2021