| NPI | 1659551406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WRIGHT Member/Psychologist 636-536-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO 2006006604) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2006006604) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-06-07 |