IndividualActive
Robert Fucetola, PHD
NPI 1023035656 · Clinical Neuropsychologist · Saint Louis, MO
Provider details
- NPI number
- 1023035656
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 01900 (MO)
Practice location
4444 Forest Park Ave
Div Neuropsychology, 2nd Fl
Saint Louis, MO 63108-2212
Phone: (314) 362-1408
Fax: (314) 454-7759
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.