Most Relevant Information
Provider Data
| NPI Number: | 1003401993 |
| Provider Name: | CARRIE LEBRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/03/2021 |
| Last Updated: | 03/03/2021 |
Provider Practice Location
14275 NEW HALLS FERRY RD
FLORISSANT
MO
630331607
Practice Location Phone/Fax
| Phone: | 3148314551 |
| Fax: | 3148314607 |
Provider Mailing Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312599
Provider Mailing Phone/Fax
| Phone: | 3149898448 |
| Fax: |