Mr Anthony Dale Udziela, PHD - Psychologist in Saint Louis, MO

Mr Anthony Dale Udziela, PHD is a Psychologist based in Saint Louis, Missouri. Mr Anthony Dale Udziela is licensed to practice in Missouri (license number PY01064) and his current practice location is 13354 Manchester Rd, Ste 220, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 614-9730.

NPI number for Mr Anthony Dale Udziela is 1194826578 and his current mailing address is 13354 Manchester Rd, Ste 220, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194826578.

Contact Information

Mr Anthony Dale Udziela, PHD
13354 Manchester Rd, Ste 220,
Saint Louis, MO 63131-1709
(314) 614-9730
(314) 692-7929

Map and Direction




Healthcare Provider's Profile

Full NameMr Anthony Dale Udziela
GenderMale
SpecialityPsychologist
Location13354 Manchester Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194826578
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Anthony Dale Udziela such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194826578NPI-NPPES
118890OtherHEALTHLINK
061234OtherEXCLUSIVE CHOICE
26999OtherMOBLUE CROSS BLUE SHIELD OF
00007511UDZOtherMERCY HEALTH PLAN
132604OtherCMR
6153019OtherUNITED HEALTHCARE UNITED
A805509OtherVALUEOPTIONS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY01064 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Anthony Dale Udziela is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Anthony Dale Udziela, PHD
13354 Manchester Rd, Ste 220,
Saint Louis, MO 63131-1709

Ph: (314) 614-9730
Mr Anthony Dale Udziela, PHD
13354 Manchester Rd, Ste 220,
Saint Louis, MO 63131-1709

Ph: (314) 614-9730

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