Lustman, Patrick Joseph

Lustman, Patrick Joseph is an individual health care provider with primary practice located at 660 S Euclid Ave , Saint Louis MO 63110-1010. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lustman, Patrick Joseph can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
660 S Euclid Ave Saint Louis MO 63110-1010
Phone: (314) 286-1700
Fax: (314) 362-7012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01053 Missouri

Profile Details

NPI number 1821046012
LBN Legal business name Lustman, Patrick Joseph
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 24th, 2017 - about 8 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 1821046012 NPPES
Missouri MEDICAID 493275408

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