MEDICARE: MARNI A DEUTSCH

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
1	101Y00000X	Counselor	2016013409	MO

General Provider Information

NPI Number	:	1952884397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARNI A DEUTSCH

Provider Business Mailing Address
First Line	:	7751 CARONDELET AVE STE 600B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-4043
Country	:	US
Telephone Number	:	314-479-7071
Fax Number	:

Provider Business Practice Location Address
First Line	:	7751 CARONDELET AVE STE 600B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-4043
Country	:	US
Telephone Number	:	314-479-7071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2018
Last Update Date	:	09/12/2018

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Directions to “ MARNI A DEUTSCH ” Practice Location

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