Individual
DR. MICHELLE RENEE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12818 TESSON FERRY RD STE 103, SAINT LOUIS, MO 63128-2945
(314) 923-4655
Mailing address
4871 VALLEY CREST DR, SAINT LOUIS, MO 63128-1826
(573) 639-0055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2012036300
MO
103T00000X
Psychologist
PSY.0004540
CO
Other
Enumeration date
05/24/2013
Last updated
01/24/2024
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