Individual provider · Type 1 NPI

Jacqueline Lisa Jacobs-Gourtzelis, MD

Child & Adolescent Psychiatry Physician · St. Louis, MO

NPI number 1245391952 Active

Practice location

1430 Olive St, Suite 400
St. Louis, MO 63103-2303

Call (314) 206-3700 Map

Fax (314) 206-3708

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804X2006005280 (MO)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1245391952

Jacqueline Lisa Jacobs-Gourtzelis, MD's National Provider Identifier is 1245391952, issued on Dec 13, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in St. Louis, MO. The record was last updated on Mar 7, 2023.