| NPI | 1548205024 |
|---|---|
| Doing Business As | AFFILIATED PSYCHOTHERAPIST |
| Entity Type | Organization |
| Authorized Contact | STEVEN JOSEPH TENENBAUM Director 314-991-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO CS001551) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PY01309) |
| 1041C0700X Social Worker, Clinical (Licence: MO SW000467) | |
| 1041C0700X Social Worker, Clinical (Licence: MO SW001286) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |