NPI 1174921514

Neurotherapy Center of St Louis LLC

Organisation EEG Specialist/Technologist Webster Grvs, MO

Practice location

Address: 425 Marshall Ave, Webster Grvs, MO 63119-1833
Phone: (636) 556-0873
Mailing address: 2834 Hampton Ave, Saint Louis, MO 63139-2627

Authorised official

Name: Ashley Joe Wiegand
Title: Neurotherapist
Phone: (309) 369-8832

Registered specialties (3)

EEG Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0500X

Other Specialist/Technologist, Other providers in Missouri →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 2013031915 (MO)

Other Marriage & Family Therapist providers in Missouri →

Electroneurodiagnostic Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Registry record

NPI: 1174921514
Entity type: Organization
NPI issued: 17 Dec 2014
Record last updated: 30 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.