Individual
DR. JAMES DOUGLAS PETTINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 W PINE BLVD, SAINT LOUIS, MO 63108-2186
(314) 361-5983
(314) 977-2614
Mailing address
4500 W PINE BLVD, SAINT LOUIS, MO 63108-2186
(314) 361-5983
(314) 977-2614
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
0905
MO
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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