Individual
SANDRA D DUARTE-SCKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 S JEFFERSON AVE STE 118, SAINT LOUIS, MO 63118-3907
(314) 776-7999
(314) 772-2257
Mailing address
1063 FRUIT TREE LN, SAINT LOUIS, MO 63146-4514
(314) 898-8750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
046068
CT
2084P0800X
Psychiatry Physician
2004018041
MO
2084P0800X
Psychiatry Physician
Primary
2010027261
MO
2084P0800X
Psychiatry Physician
MD12964
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD75901
—
RI
Enumeration date
03/22/2007
Last updated
12/18/2012
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