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Organization

QUANTUM BEHAVIORAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE E SHAPIRO PHD (CLINICAL PSYCHOLOGIST)
(314) 809-3964
Entity
Organization

Contact information

Practice address
665 S SKINKER BLVD, SAINT LOUIS, MO 63105-2313
(314) 809-3964
Mailing address
665 S SKINKER BLVD APT 16B, SAINT LOUIS, MO 63105-2353
(314) 809-3964

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
10/08/2021
Last updated
10/11/2021
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