Individual
KHUSHBOO JITENDRA SADADIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11358 VAN CLEVE AVE, SAINT LOUIS, MO 63114-1131
(314) 968-2350
Mailing address
1800 S BRENTWOOD BLVD APT 121, SAINT LOUIS, MO 63144-1837
(267) 357-3010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00015546
CO
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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