Individual
DR. DESIREE ALANA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(573) 424-3735
Mailing address
4424 ELLENWOOD AVE, SAINT LOUIS, MO 63116-1522
(573) 424-3735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012001786
MO
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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