| NPI | 1780127449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KAUFMAN Director 314-591-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2011028482) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-30 |