Provider Demographics
NPI:1467522334
Name:DENTON J STEWART INC
Entity Type:Organization
Organization Name:DENTON J STEWART INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENTON
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-725-6688
Mailing Address - Street 1:121 HUNTER AVENUE SUITE 201
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2083
Mailing Address - Country:US
Mailing Address - Phone:314-725-6688
Mailing Address - Fax:314-721-7109
Practice Address - Street 1:121 HUNTER AVENUE SUITE 201
Practice Address - Street 2:
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2083
Practice Address - Country:US
Practice Address - Phone:314-725-6688
Practice Address - Fax:314-721-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00145103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty