Individual
DR. ANDREW ROBERTS REILLY MENATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103TC0700X
Clinical Psychologist
2017002021
MO
103TH0100X
Health Service Psychologist
2017002021
MO
103TR0400X
Rehabilitation Psychologist
2017002021
MO
Other
Enumeration date
03/21/2018
Last updated
07/23/2021
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