| NPI | 1437666054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOSEPH LEWIS Owner/Licensed Psychologist 314-398-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 9289374-2501) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |