NPI 1134458201
Michael Kolessar, PSYD
Practice location
- Address
- 12380 de Paul Dr, Bridgeton, MO 63044-2511
- Phone
- (314) 447-9705
Registered specialties
Clinical Neuropsychologist
Primary
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.