Fucetola, Robert P

Fucetola, Robert P is an individual health care provider with primary practice located at 4444 Forest Park Ave Div Neuropsychology, 2Nd Fl, Saint Louis MO 63108-2212. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Fucetola, Robert P can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4444 Forest Park Ave Div Neuropsychology, 2Nd Fl Saint Louis MO 63108-2212
Phone: (314) 362-1408
Fax: (314) 454-7759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 01900 Missouri

Profile Details

NPI number 1023035656
LBN Legal business name Fucetola, Robert P
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023035656 NPPES
Missouri MEDICAID 490089004

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