Organization
FAMILY MENTAL HEALTH II, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLY BHUYAN, M.D. M.D. (PSYCHIATRIST)
(314) 872-7069
Entity
Organization
Contact information
Practice address
443 N NEW BALLAS RD, SUITE NUMBER 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Mailing address
443 N NEW BALLAS RD, SUITE NUMBER 249, SAINT LOUIS, MO 63141-6800
(314) 872-7069
(314) 872-9103
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
R8153
MO
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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