| NPI | 1851691406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDEVI GAVIRNENI M.D 314-265-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |