Fezzi, Raymond Thomas

Fezzi, Raymond Thomas is an sole proprietor health care provider with primary practice located at 6220 S Lindbergh Blvd Suite 201, Saint Louis MO 63123-7839. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fezzi, Raymond Thomas can be contacted via phone (314) 894-9696.

Contact Information

Primary practice address
6220 S Lindbergh Blvd Suite 201 Saint Louis MO 63123-7839
Phone: (314) 894-9696
Fax: (314) 894-2942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000775 Missouri

Profile Details

NPI number 1063502920
LBN Legal business name Fezzi, Raymond Thomas
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063502920 NPPES
Missouri MEDICAID 753263201

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