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Corrine Ann Dale, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Saint Louis, Missouri
NPI 1568660447

Corrine Ann Dale is an Addiction Medicine (Psychiatry & Neurology) Physician based in Saint Louis, MO and is specialized in Addiction Medicine. Corrine Ann Dale practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Corrine Ann Dale is 1568660447 and holds a License No. 2002026438 (Missouri).

The current practice location address for Corrine Ann Dale is 1408 Farmview Ave, Saint Louis, MO and can be reached out via phone at 314-216-0199 and via fax at 314-741-8992.

Location: 1408 Farmview Ave, Saint Louis, MO, 63138-2515
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Provider Profile Details
NPI Number
1568660447
Provider Name
Corrine Ann Dale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1408 Farmview Ave, Saint Louis, MO, 63138-2515
Phone Number
314-216-0199
Fax Number
314-741-8992
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
497178301 05 MO
institution
Provider Business Practice Location Address Details
Address
1408 Farmview Ave
City
State
Zip
63138-2515
Phone Number
314-216-0199
Fax Number
314-741-8992
person
Provider Business Mailing Address Details
Address
1408 Farmview Ave
City
State
Zip
63138-2515
Phone Number
314-216-0199
Fax Number
314-741-8992
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
W236154637 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
2002026438 (Missouri)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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