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Phillip Ruppert, PH.D. — NPI 1861771206, Saint Louis, MO | NPI Central

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NPI 1861771206

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Phillip Ruppert, PH.D.

NPI 1861771206 · Clinical Neuropsychologist · Saint Louis, MO

Provider details

NPI number: 1861771206
Entity type: Individual
Primary specialty: Clinical NeuropsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: No
License: 071009269 (IL)

Specialties & taxonomies

Clinical NeuropsychologistPrimary103G00000XLicense 2014031617 (MO)
Behavioral Health & Social Service Providers
Clinical Neuropsychologist103G00000XLicense 071009269 (IL)
Behavioral Health & Social Service Providers

Practice location

1438 S Grand Blvd

Saint Louis, MO 63104-1027

Phone: (314) 577-8000

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

1 Oak Dr Unit 352

Maryville, IL 62062-7026

Additional practice locations (1)

60 S State Route 157
Edwardsville, IL 62025-3846
Phone: (618) 391-4021

Registry dates

Enumerated: 2011-08-16
Last updated: 2022-02-10
Certified: 2022-02-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.