Black, Michelle Lynn Jochim

Black, Michelle Lynn Jochim is an individual health care provider with primary practice located at 3800 Park Ave , Saint Louis MO 63110-2514. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Black, Michelle Lynn Jochim can be contacted via phone (314) 577-5667.

Contact Information

Primary practice address
3800 Park Ave Saint Louis MO 63110-2514
Phone: (314) 577-5667
Fax: (314) 268-2784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2015035134 Missouri

Profile Details

NPI number 1356714893
LBN Legal business name Black, Michelle Lynn Jochim
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356714893 NPPES
Missouri Other 2015035134 MEDICAL LICENSE
Missouri Other 20042867A MEDICAL LICENSE

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