Individual
DR. JOHN JAMES NEUDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301013625
MI
103TC0700X
Clinical Psychologist
Primary
6301013625
MI
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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