IndividualActive
Jacqueline Jacobs-Gourtzelis, M.D.
NPI 1245391952 · Child & Adolescent Psychiatry Physician · Saint Louis, MO
Provider details
- NPI number
- 1245391952
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2006005280 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1430 Olive St
Suite 400
Saint Louis, MO 63103-2303
Phone: (314) 206-3700
Fax: (314) 206-3708
Approximate (ZIP-level) locationGet directions
Mailing address
1430 Olive St
Saint Louis, MO 63103-2303
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.