Individual provider · Type 1 NPI

Phillip D. Ruppert, PhD

Clinical Neuropsychologist · St. Louis, MO

NPI number 1861771206 Active

Practice location

1438 S Grand Blvd
St. Louis, MO 63104-1027

Mailing address

1 Oak Dr Unit 352
Maryville, IL 62062-7026

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000X071009269 (IL)
Clinical Neuropsychologist Primary 103G00000X2014031617 (MO)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1861771206

Phillip D. Ruppert, PhD's National Provider Identifier is 1861771206, issued on Aug 16, 2011. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 10, 2022.