Organization
PSYCH HEALTH LLC
Active
Organization
PSYCH HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEEN MANSOOR MD (OWNER)
(314) 614-7794
Entity
Organization
Contact information
Practice address
2821 N BALLAS RD, SUITE 265, SAINT LOUIS, MO 63131-2321
(314) 614-7794
(636) 942-2223
Mailing address
2821 N BALLAS RD, SUITE 265, SAINT LOUIS, MO 63131-2321
(314) 614-7794
(636) 942-2223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010015945
MO
Other
Enumeration date
03/11/2011
Last updated
04/22/2011
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