Gateway Neuropsychology, Llc | |
989 Gardenview Office Pkwy Creve Coeur MO 63141-5917 | |
(314) 591-5564 | |
Not Available |
Full Name | Gateway Neuropsychology, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 989 Gardenview Office Pkwy, Creve Coeur, Missouri |
Authorized Official Name and Position | David Kaufman (DIRECTOR) |
Authorized Official Contact | 3145915564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Neuropsychology, Llc 989 Gardenview Office Pkwy Creve Coeur MO 63141-5917 Ph: (314) 591-5564 | Gateway Neuropsychology, Llc 989 Gardenview Office Pkwy Creve Coeur MO 63141-5917 Ph: (314) 591-5564 |
NPI Number | 1780127449 |
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Provider Enumeration Date | 11/29/2016 |
Last Update Date | 11/30/2016 |
Identifier | Type | State | Issuer |
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1780127449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 2011028482 (Missouri) | Primary |
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