Organization
ST. LOUIS CENTER FOR COGNITIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ROBERTS REILLY MENATTI PH.D. (DIRECTOR)
(314) 833-4210
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD STE 201, CREVE COEUR, MO 63141-6819
(314) 833-4210
(314) 833-4212
Mailing address
522 N NEW BALLAS RD STE 201, CREVE COEUR, MO 63141-6819
(314) 833-4210
(314) 833-4212
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2017002021
MO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2017002021
MO
261QM0850X
Adult Mental Health Clinic/Center
2017002021
MO
Other
Enumeration date
04/26/2018
Last updated
12/12/2023
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