Doctor Name: | LAUREN EYMAN |
NPI Number: | 1003297490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 178.009868 |
Business Practice Address: | 21 Municipal Dr Arnold, MO - 630101012 |
Business Phone Number: | 6362966206 |
Business Fax Number: | 6362960102 |
Mailing Address: | 227 E Main St, FESTUS |
State: | MO |
Postal Code: | 630281952 |
Phone Number: | 6369312700 |
Fax Number: | 6369315304 |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 178.009868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |