Individual
MR. MATTHEW TYLER LIVASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
343 S KIRKWOOD RD, SUITE 200, KIRKWOOD, MO 63122-6195
(314) 206-3400
Mailing address
343 S KIRKWOOD RD, SUITE 200, KIRKWOOD, MO 63122-6195
(314) 206-3400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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