NPI 1780846451

Susie Dietz McGaughey, MAPLPC

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Saint Louis, MO

Practice location

Address: 330 N Gore Ave, Saint Louis, MO 63119-1600
Phone: (314) 968-2060

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2008014718 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X Licence 178.005558 (IL)

Registry record

NPI: 1780846451
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2008
Record last updated: 25 Jun 2008

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.