MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC NPI 1053674630

NPI Information

MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC is a neurodevelopmental disabilities pediatrics in Saint Louis, MO. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. MERCY CHILDRENS THERAPY AND DEVELOPMENT LLC NPI is 1053674630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

641 N NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-713
Phone: (314) 872-3345
Fax: (314) 872-3180

The provider's authorized official is Jeffrey A. Johnston .
The authorized official title is President- Mercy Hospital St. Louis and has the following contact phone number (314) 251-6000.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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