Organization
TMS OF CHESTERFIELD
Active
Organization
TMS OF CHESTERFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LANE (OFFICE MANAGER)
(636) 532-0705
Entity
Organization
Contact information
Practice address
112 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
(636) 532-0705
Mailing address
112 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
05/31/2022
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