| NPI | 1386767994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S SHAW President 314-863-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MO PY01201) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |