Provider Demographics
NPI:1336269216
Name:VIAMONTES, CLAUDIA T (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:T
Last Name:VIAMONTES
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2120 MADISON AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040
Mailing Address - Country:US
Mailing Address - Phone:618-876-7515
Mailing Address - Fax:618-876-7596
Practice Address - Street 1:522 N. NEW BALLAS
Practice Address - Street 2:SUITE 332
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-989-0542
Practice Address - Fax:618-876-7596
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR6P472084P0800X, 2084P0802X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF87036OtherMERCY
MO1500556OtherUBH
MO1500556OtherUNITED BEHAVIORAL HEALTH
MO207721200Medicaid
MO546H1OtherBLUECROSSBLUESHIELD
MO273089OtherHEALTHLINK
MO546H1OtherBLUECROSSBLUESHIELD