Dr. Robert P Fucetola, PHD
Clinical Neuropsychologist in Saint Louis, MO. Individual provider (NPI-1).
NPI number1023035656
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1023035656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert P Fucetola
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 01900 | MO | Yes |
Practice location
4444 Forest Park AveDiv Neuropsychology, 2nd Fl
Saint Louis, MO 63108-2212
Phone 314-362-1408 · Fax 314-454-7759
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-362-1408 · Fax 314-454-7759
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