Provider Demographics
NPI:1083731087
Name:SEGOVIA, ADELITA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADELITA
Middle Name:M
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9890 CLAYTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1685
Mailing Address - Country:US
Mailing Address - Phone:314-725-1515
Mailing Address - Fax:314-725-1654
Practice Address - Street 1:9890 CLAYTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1685
Practice Address - Country:US
Practice Address - Phone:314-725-1515
Practice Address - Fax:314-725-1654
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20020183942084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry