Individual
MR. THEODORE MELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
777 CRAIG RD, SUITE 120, CREVE COEUR, MO 63141-7138
(314) 997-6463
(314) 997-4423
Mailing address
777 CRAIG RD, SUITE 120, CREVE COEUR, MO 63141-7138
(314) 997-6463
(314) 997-4423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01021
MO
Other
Enumeration date
11/28/2005
Last updated
05/09/2008
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