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MERCY HOSPITALS EAST COMMUNITIES

Clinical Neuropsychologist

Saint Louis, Missouri

Provider NPI: 1376583211

Organization Information:
Organization Name:  MERCY HOSPITALS EAST COMMUNITIES
Organization is Subpart
Authorized Official:  JEFFREY A. JOHNSTON  PRESIDENT, MERCY HOSPITAL ST. LOUIS  314-2511932

Practice Location:
615 S NEW BALLAS RD  SAINT LOUIS, MO 63141 US
Tel: 314-251-6000  Fax: --

Business Mailing Address:
PO BOX 18057B  SAINT LOUIS, MO 63150 US
Tel: 314-251-6000  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N111N00000XChiropractic Providers
Chiropractor
Y207P00000XPhysicians
Emergency Medicine
N207Q00000XPhysicians
Family Medicine
N207R00000XPhysicians
Internal Medicine
N207RC0000XPhysicians
Internal Medicine
N207RC0200XPhysicians
Internal Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N2084P0800XPhysicians
Psychiatry & Neurology
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARECB6364MO01
540567401MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MO - Page 1



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