NPI 1386722304

Rick Cavins

Practitioner Psychologist Lake St Louis, MO

Practice location

Address: 1000 Lake Saint Louis Blvd Suite 134, Lake St Louis, MO 63367-1340
Phone: (314) 616-6699
Fax: (636) 561-1665

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence MO SW 003127 (MO)

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Registry record

NPI: 1386722304
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.