Doctor Name: | DAVID STAIR |
NPI Number: | 1497040505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2011010750 |
Business Practice Address: | 1715 Deer Tracks Trl Suite 260 Saint Louis, MO - 631311839 |
Business Phone Number: | 6365410676 |
Business Fax Number: | |
Mailing Address: | 5 Hillcrest Blvd, BALLWIN |
State: | MO |
Postal Code: | 630215255 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2011010750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |