| The Neuropsychology Center Of St. Louis | |
|
425 N New Ballas Rd Ste 290 Creve Coeur MO 63141-6852 | |
| (314) 324-3800 | |
| (314) 260-7676 |
| Full Name | The Neuropsychology Center Of St. Louis |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 425 N New Ballas Rd Ste 290, Creve Coeur, Missouri |
| Authorized Official Name and Position | Tammy A Martielli (NEUROPSYCHOLOGIST/MEMBER) |
| Authorized Official Contact | 3143243800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuropsychology Center Of St. Louis 425 N New Ballas Rd Ste 290 Creve Coeur MO 63141-6852 Ph: (314) 324-3800 | The Neuropsychology Center Of St. Louis 425 N New Ballas Rd Ste 290 Creve Coeur MO 63141-6852 Ph: (314) 324-3800 |
| NPI Number | 1043814874 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043814874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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