Neurotherapy Center of St Louis LLC

Organization Marriage & Family Therapist · NPI 1174921514

Neurotherapy Center of St Louis LLC is a Marriage & Family Therapist in Webster Grvs, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in: MO
In the registry since: 2014
Specialties on file: 3

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 Marshall Ave
Webster Grvs, MO 63119-1833
Phone: (636) 556-0873

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

EEG Specialist/Technologist (primary)	Taxonomy 246ZE0500X
Marriage & Family Therapist	Taxonomy 106H00000X · Licence 2013031915 (MO)
Electroneurodiagnostic Specialist/Technologist	Taxonomy 246ZE0600X

Record details

NPI number	1174921514
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ashley Wiegand — Neurotherapist · (309) 369-8832
NPI enumerated	December 17, 2014
Last updated in NPPES	December 30, 2014
Mailing address	2834 Hampton Ave, Saint Louis, MO 63139-2627