Individual
DR. TRAVIS WOOD MUNNERLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
(773) 677-0937
Mailing address
451 ALICE AVE, SAINT LOUIS, MO 63122-6304
(773) 677-0937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
06/20/2023
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