Organization
NEUROPSYCHOLOGY OF ST. LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R MATHEWS PH.D. (SOLE MBR)
(314) 757-4969
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD, SUITE 136, SAINT LOUIS, MO 63124-1685
(314) 222-5872
Mailing address
9890 CLAYTON RD, SUITE 136, SAINT LOUIS, MO 63124-1685
(314) 222-5872
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2009015463
MO
Other
Enumeration date
06/14/2010
Last updated
03/23/2012
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