Individual
RICK CAVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 LAKE SAINT LOUIS BLVD, SUITE 134, LAKE ST LOUIS, MO 63367-1340
(314) 616-6699
(636) 561-1665
Mailing address
1000 LAKE SAINT LOUIS BLVD, SUITE 134, LAKE ST LOUIS, MO 63367-1340
(314) 616-6699
(636) 561-1665
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MO SW 003127
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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