| Jeremy Shuman, Llc | |
|
10845 Olive Blvd Ste 150 Saint Louis MO 63141-7760 | |
| (314) 561-9757 | |
| Not Available |
| Full Name | Jeremy Shuman, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10845 Olive Blvd Ste 150, Saint Louis, Missouri |
| Authorized Official Name and Position | Jeremy Shuman (OWNER) |
| Authorized Official Contact | 3145619757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Shuman, Llc 10845 Olive Blvd Ste 150 Saint Louis MO 63141-7760 Ph: (314) 561-9757 | Jeremy Shuman, Llc 10845 Olive Blvd Ste 150 Saint Louis MO 63141-7760 Ph: (314) 561-9757 |
| NPI Number | 1013453976 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2016037822 (Missouri) | Primary |
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