Individual
DR. NICOLE J WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108-2212
(314) 362-1408
(314) 454-2523
Mailing address
660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 63110-1010
(314) 362-1408
(314) 454-7759
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2005024719
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490086663
—
MO
Enumeration date
07/14/2006
Last updated
11/15/2021
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