Lisa Ann Dahlgren in Creve Coeur - Clinical

Lisa Ann Dahlgren - NPI 1588722193

Lisa Ann Dahlgren is a Clinical in Creve Coeur, Missouri. Lisa Ann Dahlgren practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Ann Dahlgren is 1588722193. The last update date is 2007-07-08.

Lisa Ann Dahlgren's current location address is 12400 Olive Blvd, Creve Coeur, Missouri. You can contact this provider via phone number 6363946210 and fax number 3142752301. The mailing address for Lisa Ann Dahlgren is 12400 Olive Blvd, Creve Coeur, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Ann Dahlgren
Address 12400 Olive Blvd, Creve Coeur, Missouri
Phone Number 6363946210
Fax Number 3142752301
Sole Proprietor Y
Credentials PH. D.

NPI Number Detail

NPI Number 1588722193
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12400 Olive Blvd
City Creve Coeur
State Missouri (MO)
Post Code 631416431
Phone Number 6363946210
Fax Number 3142752301

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1546
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28825 MO ANTHEM BLUE CROSS BS

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FAQs about Lisa Ann Dahlgren

What is the unique 10-digit identification code assigned to Lisa Ann Dahlgren by the Centers for Medicare & Medicaid Services?

The Lisa Ann Dahlgren has been issued the NPI (National Provider Identifier) 1588722193, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lisa Ann Dahlgren is located?

The Lisa Ann Dahlgren is situated at the following address: 12400 Olive Blvd, Creve Coeur, MO, 631416431.

What is Lisa Ann Dahlgren's area of expertise and its corresponding taxonomy classification?

The Lisa Ann Dahlgren's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When was the Lisa Ann Dahlgren's 1588722193 issued?

The Lisa Ann Dahlgren's 1588722193 was issued on 2006-12-05.

As of what date were the details related to Lisa Ann Dahlgren most recently updated or revised?

The information pertaining to Lisa Ann Dahlgren, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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