Search › Missouri › 174400000X
Paul Mack, CHTP, ED.D, MS, BA
NPI 1780740563 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1015 Mccausland Ave
Saint Louis, MO 63117 - Phone
- (314) 781-5050
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri