Organization
THE CENTER FOR HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ELAINE BROCKMAN M.D. (PSYCHIATRIST)
(314) 843-7500
Entity
Organization
Contact information
Practice address
12818 TESSON FERRY RD, SUITE 101, SAINT LOUIS, MO 63128-2945
(314) 843-7500
(314) 843-7503
Mailing address
12818 TESSON FERRY RD, SUITE 101, SAINT LOUIS, MO 63128-2945
(314) 843-7500
(314) 843-7503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2004003502
MO
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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