Stacey Woodrome in Saint Louis - Clinical Neuropsychologist
Stacey Woodrome - NPI 1689852253
Stacey Woodrome is a Clinical Neuropsychologist in Saint Louis, Missouri. Stacey Woodrome practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Stacey Woodrome is 1689852253. The last update date is 2020-11-10.
Stacey Woodrome's current location address is 1465 S Grand Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3145775667 and fax number 3142682784. The mailing address for Stacey Woodrome is 1465 S Grand Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Woodrome |
|---|---|
| Address | 1465 S Grand Blvd, Saint Louis, Missouri |
| Phone Number | 3145775667 |
| Fax Number | 3142682784 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689852253 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 1465 S Grand Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631041003 |
| Phone Number | 3145775667 |
| Fax Number | 3142682784 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 2010017666 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the Stacey Woodrome's 1689852253?
The Stacey Woodrome's NPI (National Provider Identifier) Number is 1689852253. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stacey Woodrome located?
The Stacey Woodrome is located at 1465 S Grand Blvd, Saint Louis, MO 631041003.
What is Stacey Woodrome's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey Woodrome's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689852253 to Stacey Woodrome?
The Stacey Woodrome received its 1689852253 assignment from the Centers for Medicare & Medicaid Services on 2008-02-06.
As of what date was the information pertaining to Stacey Woodrome, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey Woodrome, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-10.
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