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NPI Code Detail

MEDICARE: DR. MEENA DHAWAN PH.D.

MEDICARE:  DR. MEENA  DHAWAN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist01518MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811996689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEENA DHAWAN PH.D.
Provider Business Mailing Address
First Line : 5000 CEDAR PLAZA PARKWAY
Second Line : STE 350
City : SAINT LOUIS
State : MO
Zip : 63128-3441
Country : US
Telephone Number : 314-843-4333
Fax Number : 314-843-4856
Provider Business Practice Location Address
First Line : 11709 OLD BALLAS RD
Second Line : SUITE 103
City : SAINT LOUIS
State : MO
Zip : 63141-7029
Country : US
Telephone Number : 314-993-8950
Fax Number : 314-567-5574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/13/2008

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Directions to “ DR. MEENA DHAWAN PH.D.” Practice Location

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