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NPI Code Detail

MEDICARE: THE LEARNING TREE INTERG.CENTER INC.

MEDICARE: THE LEARNING TREE INTERG.CENTER INC.
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
1372600000XAdult Companion575MO

General Provider Information

NPI Number : 1699821132
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LEARNING TREE INTERG.CENTER INC.
Provider Business Mailing Address
First Line : 4430 LABADIE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63115-2603
Country : US
Telephone Number : 314-534-0699
Fax Number :
Provider Business Practice Location Address
First Line : 4430 LABADIE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63115-2603
Country : US
Telephone Number : 314-534-0699
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SHIRLEY BLACK
Credential :
Telephone Number : 314-534-0699
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/30/2008

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Directions to “THE LEARNING TREE INTERG.CENTER INC. ” Practice Location

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