| NPI | 1891114526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V OLIVERI Owner 636-536-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO R0299) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-05-02 |