Provider Demographics
NPI:1538770284
Name:MEIGS PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:MEIGS PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LAWTON
Authorized Official - Last Name:FALES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-591-6168
Mailing Address - Street 1:529 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2517
Mailing Address - Country:US
Mailing Address - Phone:314-591-6168
Mailing Address - Fax:
Practice Address - Street 1:529 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2517
Practice Address - Country:US
Practice Address - Phone:314-591-6168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty