Individual provider · Type 1 NPI
Corrine Ann Dale, MD
Addiction Medicine (Psychiatry & Neurology) Physician · St. Louis, MO
NPI number
1568660447
Active
Practice location
1408 Farmview Ave
St. Louis, MO 63138-2515
Fax (314) 741-8992
Other practice locations
- 1408 Farmview Ave, St. Louis, MO 63138-2515 · (314) 898-6094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 2002026438 (MO) |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | W236154637 (IL) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Another provider at this address
Other addiction medicine (psychiatry & neurology) physician providers in St. Louis
About NPI 1568660447
Corrine Ann Dale, MD's National Provider Identifier is 1568660447, issued on Jul 3, 2007. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in St. Louis, MO. The record was last updated on Sep 12, 2021.