Organization
MARITAL & SEXUAL THERAPY PROGRAMS OF MISSOURI
Active
Organization
MARITAL & SEXUAL THERAPY PROGRAMS OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F SCHWARTZ SCD (CLINICAL DIRECTOR)
(636) 386-6611
Entity
Organization
Contact information
Practice address
800 HOLLAND RD, BOLLWIN, MO 63021
(636) 386-6611
(636) 386-6622
Mailing address
800 HOLLAND RD, BOLLWIN, MO 63021
(636) 386-6611
(636) 386-6622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01565
MO
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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