Michael Stake in Saint Louis - Clinical

Michael Stake - NPI 1639222599

Michael Stake is a Clinical in Saint Louis, Missouri. Michael Stake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Stake is 1639222599. The last update date is 2007-07-08.

Michael Stake's current location address is 1901 Pennsylvania Ave, Saint Louis, Missouri. You can contact this provider via phone number 3148770589 and fax number 3148770575. The mailing address for Michael Stake is 1901 Pennsylvania Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Stake
Address 1901 Pennsylvania Ave, Saint Louis, Missouri
Phone Number 3148770589
Fax Number 3148770575
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1639222599
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1901 Pennsylvania Ave
City Saint Louis
State Missouri (MO)
Post Code 631331325
Phone Number 3148770589
Fax Number 3148770575

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 191
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

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FAQs about Michael Stake

What is the unique provider identifier assigned to Michael Stake?

The Michael Stake has been issued the NPI (National Provider Identifier) 1639222599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael Stake's facilities are geographically located?

The facilities of Michael Stake are physically situated at the following location: 1901 Pennsylvania Ave, Saint Louis, MO, 631331325.

What is Michael Stake's area of expertise and its corresponding taxonomy classification?

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

On what date did the Centers for Medicare & Medicaid Services issue the 1639222599 to Michael Stake?

The Michael Stake received its 1639222599 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.

As of what date were the Michael Stake's details last updated?

The information pertaining to the Michael Stake, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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