| Neurotherapeutics, Inc | |
|
11040 Manchester Rd Saint Louis MO 63122-1244 | |
| (314) 909-0776 | |
| (314) 909-0887 |
| Full Name | Neurotherapeutics, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11040 Manchester Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Karen J Pentella (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3149090776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotherapeutics, Inc 1836 Lackland Hill Pkwy Saint Louis MO 63146-3572 Ph: (314) 989-0300 | Neurotherapeutics, Inc 11040 Manchester Rd Saint Louis MO 63122-1244 Ph: (314) 909-0776 |
| NPI Number | 1013188549 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013188549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R1C48 (Missouri) | Primary |
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