RAYMOND C TAIT

ST LOUIS, MO
NPI1225002447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MO  01087)
Enumeration Date2006-02-14
Last Update Date2008-01-09
Business Address
RAYMOND C TAIT PHD
1221 S GRAND
ST LOUIS, MO 63104
Phone number: 314-268-5424
Mailing Address
RAYMOND C TAIT PHD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440