Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1999010395 | MO |
NPI | 1134210024 |
---|---|
Provider Name | Dr. David N Mcvey |
First Address | Saint Louis, MO 63141-6302 |
Second Address | Saint Louis, MO 63141-6302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 09/07/2007 |