Organization
ST CHARLES WEST PSYCHOLOGICAL
Active
Organization
ST CHARLES WEST PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ANDRADE (ACCT MANAGER)
(314) 432-2580
Entity
Organization
Contact information
Practice address
600 MEDICAL DR STE 205, WENTZVILLE, MO 63385-3426
(314) 432-2580
(314) 432-0223
Mailing address
600 MEDICAL DR STE 205, WENTZVILLE, MO 63385-3426
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/31/2009
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