Individual
DR. MICHAEL MARTIN LUTHER KROWNAPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6040
Mailing address
2109A RUSSELL BLVD, SAINT LOUIS, MO 63104-2606
(314) 566-3391
(573) 218-7053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2008031123
MO
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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