| NPI | 1174709638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLY BHUYAN, M.D. Psychiatrist 314-872-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO R8153) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |