Individual
DR. ILINA TODOROVA-MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3615 MORGANFORD RD, 1ST FLOOR, SAINT LOUIS, MO 63116-1612
(314) 664-0835
(314) 664-0836
Mailing address
3615 MORGANFORD RD, 1ST FLOOR, SAINT LOUIS, MO 63116-1612
(314) 664-0835
(314) 664-0836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2002021881
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496014614
—
MO
Enumeration date
01/23/2007
Last updated
09/14/2009
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