| Family Mental Health Ii, P.c. | |
|
443 N New Ballas Rd Suite Number 249 Saint Louis MO 63141-6800 | |
| (314) 872-7069 | |
| (314) 872-9103 |
| Full Name | Family Mental Health Ii, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 443 N New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Elly Bhuyan, M.d. (PSYCHIATRIST) |
| Authorized Official Contact | 3148727069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Mental Health Ii, P.c. 443 N New Ballas Rd Suite Number 249 Saint Louis MO 63141-6800 Ph: (314) 872-7069 | Family Mental Health Ii, P.c. 443 N New Ballas Rd Suite Number 249 Saint Louis MO 63141-6800 Ph: (314) 872-7069 |
| NPI Number | 1174709638 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174709638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | R8153 (Missouri) | Primary |
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