Organization
TWMK2
Active
Other names
Dr. Travis Wood Munnerlyn
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS WOOD MUNNERLYN PSYD (OWNER/PRESIDENT)
(773) 677-0937
Entity
Organization
Contact information
Practice address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
(773) 672-2342
(773) 825-8219
Mailing address
451 ALICE AVE, KIRKWOOD, MO 63122-6304
(773) 677-0937
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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