| Chesterfield Valley Psychiatry | |
|
17269 Wild Horse Creek Rd #250 Chesterfield MO 63005-1360 | |
| (636) 519-7404 | |
| (636) 537-0043 |
| Full Name | Chesterfield Valley Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 17269 Wild Horse Creek Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Syed Shahid Mumtaz (OWNER) |
| Authorized Official Contact | 6365197404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Valley Psychiatry 17269 Wild Horse Creek Rd #250 Chesterfield MO 63005-1360 Ph: (636) 519-7404 | Chesterfield Valley Psychiatry 17269 Wild Horse Creek Rd #250 Chesterfield MO 63005-1360 Ph: (636) 519-7404 |
| NPI Number | 1225587272 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225587272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD114459 (Missouri) | Primary |
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