| NPI | 1497275531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVORIE D CHAMBERS Owner 314-813-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 103TH0100X Psychologist, Health Service | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |