| Neuropsychology Of St. Louis, Llc | |
|
9890 Clayton Rd Suite 136 Saint Louis MO 63124-1685 | |
| (314) 222-5872 | |
| Not Available |
| Full Name | Neuropsychology Of St. Louis, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9890 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Jennifer R Mathews (SOLE MBR) |
| Authorized Official Contact | 3147574969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Of St. Louis, Llc 9890 Clayton Rd Suite 136 Saint Louis MO 63124-1685 Ph: (314) 222-5872 | Neuropsychology Of St. Louis, Llc 9890 Clayton Rd Suite 136 Saint Louis MO 63124-1685 Ph: (314) 222-5872 |
| NPI Number | 1558682534 |
|---|---|
| Provider Enumeration Date | 06/14/2010 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558682534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2009015463 (Missouri) | Primary |
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