Individual
DR. MICHAEL PATRICK MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 750-5026
Mailing address
498 MEADOW GREEN PL, CREVE COEUR, MO 63141-7443
(314) 809-6140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1999140391
MO
Other
Enumeration date
08/11/2020
Last updated
09/18/2020
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