Individual
MR. PETER MITCHELL RUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
8820 LADUE RD, SAINT LOUIS, MO 63124-2079
(314) 754-3253
Mailing address
8820 LADUE ROAD, ST. LOUIS, MO 63124
(314) 754-3253
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000742
MO
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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