| NPI | 1558682534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R MATHEWS Sole Mbr 314-757-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2009015463) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2012-03-23 |