Individual
DR. MITCHELL ALAN ALEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2 CITYPLACE DR, SUITE 200, SAINT LOUIS, MO 63141-7096
(314) 812-2600
Mailing address
11916 KENDON DR, SAINT LOUIS, MO 63131-4116
(314) 812-2600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00204
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100104
HEALTHLINK
MO
01
—
2914
BLUE CROSS/BLUE SHIELD
MO
01
—
36277
GHP
MO
01
—
4210282
AETNA
MO
01
—
R00657
PREMIER BENEFITS
MO
Enumeration date
12/30/2005
Last updated
07/08/2007
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