Paul M Vandivort is a Psychiatry in Clayton, Missouri. Paul M Vandivort practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Paul M Vandivort is 1780801407. The last update date is 2007-07-08.
Paul M Vandivort's current location address is 141 N Meramec Ave Ste 306, Clayton, Missouri. You can contact this provider via phone number 3147212286. The mailing address for Paul M Vandivort is 141 N Meramec Ave Ste 306, Clayton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul M Vandivort |
|---|---|
| Address | 141 N Meramec Ave Ste 306, Clayton, Missouri |
| Phone Number | 3147212286 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780801407 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 141 N Meramec Ave Ste 306 |
|---|---|
| City | Clayton |
| State | Missouri (MO) |
| Post Code | 631053750 |
| Phone Number | 3147212286 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD R8670 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identification code assigned to Paul M Vandivort by the Centers for Medicare & Medicaid Services?
The Paul M Vandivort has been issued the NPI (National Provider Identifier) 1780801407. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul M Vandivort located?
The Paul M Vandivort is located at 141 N Meramec Ave Ste 306, Clayton, MO 631053750.
What is the Paul M Vandivort's specialty and taxonomy code?
The Paul M Vandivort's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780801407 to Paul M Vandivort?
The Centers for Medicare & Medicaid Services originally issued the 1780801407 to Paul M Vandivort on 2007-04-20.
As of what date were the details pertaining to Paul M Vandivort last refreshed?
The information related to the Paul M Vandivort, including its address, specialty, and other relevant details, was last updated on 2007-07-08.