Individual
JENNIFER MICHELLE PESTER GRATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
855 CARILLON CT, CREVE COEUR, MO 63141-6316
(314) 974-0907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
2010031033
MO
Other
Enumeration date
07/18/2010
Last updated
09/21/2010
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