SHULAMIT MENASHE PORTNOY

ST. LOUIS, MO
NPI1033115589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
(Licence: MO  2003001990)
Additional Taxonomies208000000X Pediatrics
(Licence: MO  2003001990)
2080P0006X Pediatrics Developmental - Behavioral Pediatrics
(Licence: MO  2003001990)
Enumeration Date2005-06-21
Last Update Date2021-01-11
Business Address
SHULAMIT MENASHE PORTNOY MD
1465 S GRAND BLVD
ST. LOUIS, MO 63104-1003
Phone number: 314-577-5609
Mailing Address
SHULAMIT MENASHE PORTNOY MD
PO BOX 503900
SAINT LOUIS, MO 63150-3900
Phone number: 314-577-5609