NPI Index

SHULAMIT PORTNOY, MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

Active Individual
NPI: 1033115589

Practice Address

1465 S GRAND BLVD
St. Louis, MO 63104

Phone: (314) 577-5609

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 2003001990 (MO)
Pediatrics - Developmental - Behavioral Pediatrics 2080P0006X No 2003001990 (MO)
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology 2084N0402X Yes 2003001990 (MO)

Frequently Asked Questions

NPI 1033115589 is the National Provider Identifier for SHULAMIT PORTNOY, MD, a Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology provider located in St. Louis, MO. This NPI was enumerated on June 21, 2005.
SHULAMIT PORTNOY, MD practices at 1465 S GRAND BLVD, St. Louis, MO 63104.

Quick Facts

NPI
1033115589
Type
Individual
Enumerated
Jun 21, 2005
Last Updated
Jan 11, 2021

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