Organization
GATEWAY NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KAUFMAN PH.D. (DIRECTOR)
(314) 591-5564
Entity
Organization
Contact information
Practice address
989 GARDENVIEW OFFICE PKWY, CREVE COEUR, MO 63141-5917
(314) 591-5564
Mailing address
989 GARDENVIEW OFFICE PKWY, CREVE COEUR, MO 63141-5917
(314) 591-5564
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2011028482
MO
Other
Enumeration date
11/29/2016
Last updated
11/30/2016
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