Organization
THOMAS J. LANTSBERGER, PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA M. LANTSBERGER M.S. (OFFICE MANAGER)
(314) 881-4260
Entity
Organization
Contact information
Practice address
14561 NORTH OUTER 40 ROAD, SUITE 250, CHESTERFIELD, MO 63017
(314) 881-4260
(314) 881-4262
Mailing address
14561 NORTH OUTER 40 ROAD, SUITE 250, CHESTERFIELD, MO 63017
(314) 881-4260
(314) 881-4262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
M001687
MO
103TC0700X
Clinical Psychologist
01687
MO
104100000X
Social Worker
MO0004978
MO
Other
Enumeration date
11/07/2006
Last updated
06/22/2011
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