Organization · Type 2 NPI

ST Louis University

Child & Adolescent Psychiatry Physician · St. Louis, MO

NPI number 1740409325 Active

Practice location

1438 S Grand Blvd
St. Louis, MO 63104-1027

Call (314) 577-8734 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatry Physician Primary	2084P0804X	None listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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NPI record

NPI: 1740409325
Entity type: Organization (Type 2)
Issued: Apr 24, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Psychiatry-Adolescent Psychiatry · doing business as
Slucare Dept of Psychiatry-Adolescent Psychiatry · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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About NPI 1740409325

ST Louis University's National Provider Identifier is 1740409325, issued on Apr 24, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.