NPI 1023035656

Robert P Fucetola, PHD

Practitioner Clinical Neuropsychologist Saint Louis, MO

Practice location

Address: 4444 Forest Park Ave Div Neuropsychology, 2nd Fl, Saint Louis, MO 63108-2212
Phone: (314) 362-1408
Fax: (314) 454-7759
Mailing address: PO Box 7412011, Chicago, IL 60674-2011

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 01900 (MO)

Other Clinical Neuropsychologist providers in Missouri →

Registry record

NPI: 1023035656
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 17 Apr 2025

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.