Whalio Doctors

NPI 1033280144

Ellen Marting Jayaprabhu, LMFT

Practitioner Marriage & Family Therapist Saint Louis, MO

Practice location

Address
425 N New Ballas Rd STE 285, Saint Louis, MO 63141-6877
Phone
(314) 635-6505
Mailing address
6362 Alamo Ave, Saint Louis, MO 63105-3104

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 2006030663 (MO)

Registry record

NPI
1033280144
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Nov 2006
Record last updated
20 Dec 2021

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.