Whalio Doctors

NPI 1134458201

Michael Kolessar, PSYD

Practitioner Clinical Neuropsychologist Bridgeton, MO

Practice location

Address
12380 de Paul Dr, Bridgeton, MO 63044-2511
Phone
(314) 447-9705

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X

Registry record

NPI
1134458201
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Dec 2009
Record last updated
3 Oct 2013

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.