NPI 1457584138

Peter Mitchell Ruderman, MSW

Practitioner Psychoanalyst Saint Louis, MO

Practice location

Address: 8820 Ladue Rd, Saint Louis, MO 63124-2079
Phone: (314) 754-3253
Mailing address: 8820 Ladue Road, St. Louis, MO 63124

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 000742 (MO)

Other Psychoanalyst providers in Missouri →

Registry record

NPI: 1457584138
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2009
Record last updated: 28 Aug 2009

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.