Search › Missouri › 101YP2500X
Derek Wall, M.S., LPC, NCC
NPI 1639408214 · on the registry since 2009 · sole proprietor
Practice
- Address
- 12400 Olive Blvd
Suite 205
Saint Louis, MO 63141 - Phone
- (314) 607-2801
- Organisation at this address
- Gateway Anesthesia Partners Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri