Search › Missouri › 1041C0700X
Melissa Peterson, LICSW
NPI 1811211139 · on the registry since 2010
Practice
- Address
- 9909 Clayton Rd
Suite Ll2a
Saint Louis, MO 63124 - Phone
- (314) 649-2416
- Organisation at this address
- Eidos Imaging Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-20
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