NPI 1518444892

Emmanuel Eugene McCarrell

Practitioner Prevention Professional Berkeley, MO

Practice location

Address: 6121 N Hanley Rd, Berkeley, MO 63134-2003
Phone: (314) 615-0852

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence SE108 (MO)

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Registry record

NPI: 1518444892
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2018
Record last updated: 19 Jul 2018

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.