Individual provider · Type 1 NPI

Jennifer L. Heithaus, MD

Developmental - Behavioral Pediatrics Physician · St. Louis, MO

NPI number 1639468135 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Fax (314) 268-4028

Mailing address

PO Box 503900
St. Louis, MO 63150-3900

Specialties and licenses

TaxonomyCodeLicense
Developmental - Behavioral Pediatrics Physician Primary 2080P0006X2014007663 (MO)
Pediatrics Physician 208000000X2014007663 (MO)

Developmental - Behavioral Pediatrics Physician: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions…

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About NPI 1639468135

Jennifer L. Heithaus, MD's National Provider Identifier is 1639468135, issued on Apr 5, 2011. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2026.