Independence Center
NPI #1083054787 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1083054787
- Entity Type
- Organization
- Organization Name
- Independence Center
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 27, 2013
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 4219 LACLEDE AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63108-2814
- Phone
- (314) 880-5415
Authorized Official
- Name
- MRS. PATRICIA HOLMES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 880-5415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
Similar Providers
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| DR. Shaheen Mansoor, M.D. | |
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| DR. Antonina S Gesmundo, MD | |
| DR. Rushaniya Albeptovna Khairova, MD | |
| Brandon J Kiley, MD |
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