Organization
ST. LOUIS BEHAVIORAL ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ANNE MOERGEN PH.D. (PRESIDENT/OWNER)
(314) 997-1183
Entity
Organization
Contact information
Practice address
745 CRAIG RD, SUITE 210, SAINT LOUIS, MO 63141-7160
(314) 997-1183
(314) 997-1196
Mailing address
745 CRAIG RD, SUITE 210, SAINT LOUIS, MO 63141-7160
(314) 997-1183
(314) 997-1196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01628
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29171
BCBS
—
Enumeration date
10/09/2007
Last updated
05/03/2010
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