Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
UMSL - Center for Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROLAND LEVEQUE PSY.D. (ASSISTANT DIRECTOR)
(314) 516-6275
Entity
Organization
Contact information
Practice address
12837 FLUSHING MEADOWS DRIVE, SUTIE 220, TOWN AND COUNTRY, MO 63131
(314) 516-4357
(314) 516-5347
Mailing address
12837 FLUSHING MEADOWS DRIVE, SUITE 220, TOWN AND COUNTRY, MO 63131
(314) 516-6275
(314) 516-5347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
03/15/2018
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