PHILLIP D. RUPPERT

SAINT LOUIS, MO
NPI1861771206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: MO  2014031617)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: IL  071009269)
Enumeration Date2011-08-16
Last Update Date2022-02-10
Business Address
Dr. PHILLIP D. RUPPERT Ph.D.
1438 S GRAND BLVD
SAINT LOUIS, MO 63104-1027
Phone number: 314-577-8000
Mailing Address
Dr. PHILLIP D. RUPPERT Ph.D.
1 OAK DR UNIT 352
MARYVILLE, IL 62062-7026
Phone number: 618-391-4021