Dr. Tammy Anne Martielli, Ph.D.
Clinical Neuropsychologist in Creve Coeur, MO. Individual provider (NPI-1).
Details
- NPI
- 1104013689
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tammy Anne Martielli
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2007
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2009010486 | MO | Yes |
| 103TC0700X | Psychologist, Clinical | 2009010486 | MO |
Other names
- Tammy Anne Mandernach (Former Name)
Practice location
425 N New Ballas Rd Ste 290Creve Coeur, MO 63141-6852
Phone 314-324-3800 · Fax 314-260-7676
Mailing address
425 N New Ballas Rd Ste 290Creve Coeur, MO 63141-6852
Phone 314-324-3800 · Fax 314-260-7676
Other practice locations
Saint Louis, MO 63108-2186
Phone 314-324-3800 · Fax 314-260-7676
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in Creve Coeur, MO
- Gateway Neuropsychology, LLCNPI 1780127449
- Andrew Roberts Reilly Menatti, PH.D.NPI 1982108163
- St. Louis Center For Cognitive Health, LLCNPI 1720576663
- The Neuropsychology Center Of St. LouisNPI 1043814874
All 5 Clinical Neuropsychologist providers in Creve Coeur · All 1,002 providers in Creve Coeur
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