Provider Information for 1699747907
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. MICHAEL CUNDIFF LPC
Sex: Male
NPI: 1699747907
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699747907 | ||||||||||||
| Enumeration Date | 2006-02-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 9200 WATSON RD STE. G101 SAINT LOUIS, MO 63126-1528 United States Phone: 314-367-5500 | Fax:314-843-9212 | ||||||||||||
| Primary Practice Address | 100 W MAIN ST UNION, MO 63084-1363 United States Phone: 636-583-1800 | Fax:636-583-0836 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|