| NPI | 1487870333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PENTINO Office Manager 314-725-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO 00203) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-02-12 |