Tiedt, Azra

Tiedt, Azra is an individual health care provider with primary practice located at 3165 Mckelvey Rd Suite 200, Bridgeton MO 63044-2550. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tiedt, Azra can be contacted via phone (314) 206-3900.

Contact Information

Primary practice address
3165 Mckelvey Rd Suite 200 Bridgeton MO 63044-2550
Fax: (314) 206-3992
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1073738837
LBN Legal business name Tiedt, Azra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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