TERESA L DESHIELDS PHD LLC

CLAYTON, MO
NPI1013472703
Entity TypeOrganization
Authorized ContactTERESA L DESHIELDS
Owner
314-403-5415
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
TERESA L DESHIELDS PHD LLC
225 S MERAMEC AVE STE 432T
CLAYTON, MO 63105-3597
Phone number: 314-403-5415
Mailing Address
TERESA L DESHIELDS PHD LLC
12 TUSCANY PARK
SAINT LOUIS, MO 63105-3019
Phone number: 314-517-0531