Doctor Name: | MRS. ANGELA LEE SKURTU |
NPI Number: | 1124288220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | |
Business Practice Address: | 13610 Barrett Office Drive Suite 214 St. Louis Marriage Therapy, Angela Skurtu Ballwin, MO - 630217818 |
Business Phone Number: | 3149737997 |
Business Fax Number: | |
Mailing Address: | 13610 Barrett Office Drive, Suite 214 BALLWIN |
State: | MO |
Postal Code: | 630217818 |
Phone Number: | 3149737997 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |