IndividualActive
Stacey Woodrome, PH.D.
NPI 1689852253 · Clinical Neuropsychologist · Saint Louis, MO
Provider details
- NPI number
- 1689852253
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2010017666 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5667
Fax: (314) 268-2784
Approximate (ZIP-level) locationGet directions
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Additional practice locations (1)
- 3800 Park Ave Fl 2Saint Louis, MO 63110-2514Phone: (314) 577-5667
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.