Individual
MR. MATT A SHATZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8820 LADUE RD, SUITE 306, SAINT LOUIS, MO 63124-2079
(314) 397-3775
Mailing address
159 HAMMEL AVE, SAINT LOUIS, MO 63119-2214
(314) 397-3775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007035327
MO
Other
Enumeration date
07/31/2006
Last updated
08/31/2009
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