Individual
DR. PATRICK JOSEPH LUSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 362-7012
Mailing address
660 S EUCLID AVE, C B 8134, SAINT LOUIS, MO 63110-1010
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01053
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493275408
—
MO
Enumeration date
05/04/2006
Last updated
01/24/2017
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