Whalio Doctors

NPI 1124176623

Judy Conoyer Bronson, PHD

Practitioner Psychologist Ellisville, MO

Practice location

Address
119 Clarkson Executive Park, Ellisville, MO 63011-2044
Phone
(636) 256-0600
Fax
(636) 256-0626

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2006029947 (MO)

Registry record

NPI
1124176623
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2007
Record last updated
8 Jul 2007

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.