Southern Illinois Neuropsychology LLC
NPI #1861909509 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1861909509
- Entity Type
- Organization
- Organization Name
- Southern Illinois Neuropsychology LLC
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Jan 3, 2018
- Last Updated
- Feb 10, 2022
Practice Location
- Address
- 60 S STATE ROUTE 157
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025
- Phone
- (618) 391-4021
Authorized Official
- Name
- DR. PHILLIP RUPPERT, PHD
- Title
- OWNER
- Phone
- (618) 391-4021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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