Individual
DR. JANINE B. BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7396 PERSHING AVE, SAINT LOUIS, MO 63130-4206
(314) 333-9474
Mailing address
417 MISSION COURT, ST LOUIS, MO 63130-4018
(314) 726-3487
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1999140465
MO
163W00000X
Registered Nurse
065986
MO
Other
Enumeration date
04/04/2007
Last updated
06/18/2019
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