Family Psychiatry Llc

Specialty details in registry · Saint Louis, MO

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At a glance

10420 Old Olive Street Rd, Saint Louis, MO 63141-5914

NPPES record updated Jun 30, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

10420 Old Olive Street Rd
Saint Louis, MO 63141-5914
Professional details: NPI, taxonomy & registry record
NPI1265956544
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2084P0804X
Enumeration date
Jul 28, 2017
Record updated
Jun 30, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2084P0804X · Primary

License reported: 2016032249 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10420 Old Olive Street Rd
Saint Louis, MO 63141-5914
Phone
(314) 504-4698
Mailing address
10420 OLD OLIVE STREET RD

SAINT LOUIS, MO 631415914
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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