IndividualActive
Tammy Martielli, PH.D.
NPI 1104013689 · Clinical Neuropsychologist · Creve Coeur, MO
Provider details
- NPI number
- 1104013689
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2009010486 (MO)
Practice location
425 N New Ballas Rd Ste 290
Creve Coeur, MO 63141-6852
Phone: (314) 324-3800
Fax: (314) 260-7676
Mailing address
425 N New Ballas Rd Ste 290
Creve Coeur, MO 63141-6852
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.