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Organization

NEUROREGENESIS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT ANDREW GILLESPIE PH.D. (PSYCHOLOGIST)
(610) 996-1200
Entity
Organization

Contact information

Practice address
1176 TOWN AND COUNTRY COMMONS, CHESTERFIELD, MO 63017-8200
(636) 893-1137
(636) 893-1101
Mailing address
1176 TOWN AND COUNTRY COMMONS, CHESTERFIELD, MO 63017-8200
(610) 996-1200
(636) 893-1101

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2007006356
MO

Other

Enumeration date
04/25/2010
Last updated
08/21/2014
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