| Anthony Udziela Phd Llc | |
|
13354 Manchester Road Suite 220 St. Louis MO 63131-1739 | |
| (314) 614-9730 | |
| (314) 692-7929 |
| Full Name | Anthony Udziela Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 13354 Manchester Road, St. Louis, Missouri |
| Authorized Official Name and Position | Anthony Dale Udziela (OWNER) |
| Authorized Official Contact | 3146149730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Udziela Phd Llc 13354 Manchester Road Suite 220 St. Louisl MO 63131 Ph: (314) 614-9730 | Anthony Udziela Phd Llc 13354 Manchester Road Suite 220 St. Louis MO 63131-1739 Ph: (314) 614-9730 |
| NPI Number | 1366762577 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 07/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366762577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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