Organization
THE NEUROPSYCHOLOGY CENTER OF ST. LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY A MARTIELLI PH.D. (NEUROPSYCHOLOGIST/MEMBER)
(314) 324-3800
Entity
Organization
Contact information
Practice address
425 N NEW BALLAS RD STE 290, CREVE COEUR, MO 63141-6852
(314) 324-3800
(314) 260-7676
Mailing address
425 N NEW BALLAS RD STE 290, CREVE COEUR, MO 63141-6852
(314) 324-3800
(314) 260-7676
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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