| Michael V Oliveri | |
|
17300 N Outer 40 Rd Suite 203 Chesterfield MO 63005-1364 | |
| (636) 536-7878 | |
| (636) 536-7871 |
| Full Name | Michael V Oliveri |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 17300 N Outer 40 Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Michael V Oliveri (OWNER) |
| Authorized Official Contact | 6365367878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael V Oliveri 17300 N Outer 40 Rd Suite 203 Chesterfield MO 63005-1364 Ph: (636) 536-7878 | Michael V Oliveri 17300 N Outer 40 Rd Suite 203 Chesterfield MO 63005-1364 Ph: (636) 536-7878 |
| NPI Number | 1891114526 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 05/02/2014 |
| Medicare PECOS PAC ID | 6002049657 |
|---|---|
| Medicare Enrollment ID | O20140506000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891114526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | R0299 (Missouri) | Primary |
| Provider Name | Michael V Oliveri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417901885 PECOS PAC ID: 5092887075 Enrollment ID: I20080708000565 |
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