Search › Missouri › 103TB0200X
Anita Bazile, PH D
NPI 1801959713 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1129 Macklind Ave
Saint Louis, MO 63110 - Phone
- (314) 534-0200
- Fax
- (314) 534-7996
- Organisation at this address
- St. Louis Behavioral Medicine Institute Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103TB0200X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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