Individual
DR. SUSAN C SYLVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8888 LADUE RD, #120, SAINT LOUIS, MO 63124-2056
(314) 454-6069
(314) 726-6069
Mailing address
8888 LADUE RD, #120, SAINT LOUIS, MO 63124-2056
(314) 454-6069
(314) 726-6069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167389
BCBS
—
01
—
6144460
UBH
—
Enumeration date
07/20/2006
Last updated
12/03/2007
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