Provider Demographics
NPI:1447501697
Name:KAUFMAN, DAVID AS (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AS
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:989 GARDENVIEW OFFICE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5917
Mailing Address - Country:US
Mailing Address - Phone:314-591-5564
Mailing Address - Fax:314-786-1445
Practice Address - Street 1:7272 WURZBACH RD
Practice Address - Street 2:SUITE 601
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4801
Practice Address - Country:US
Practice Address - Phone:210-615-3483
Practice Address - Fax:210-593-9863
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2014-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011028482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2011028482OtherLICENSE