Provider Demographics
NPI:1134210024
Name:MCVEY, DAVID N (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:MCVEY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S NEW BALLAS RD STE 6002B
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8273
Mailing Address - Country:US
Mailing Address - Phone:314-682-6550
Mailing Address - Fax:314-514-9910
Practice Address - Street 1:621 S NEW BALLAS RD STE 6002B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8273
Practice Address - Country:US
Practice Address - Phone:314-682-6550
Practice Address - Fax:314-514-9910
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999010395103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO495993602Medicaid