Teide Brisibe Ehimare, M.D.
Psychiatry & Neurology, Psychiatry in Bridgeton, MO. Individual provider (NPI-1).
NPI number1982804704
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1982804704
- Entity type
- Individual (NPI-1)
- Name
- Teide Brisibe Ehimare
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2007
- Certification date
- Nov 14, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 2012003220 | MO | Yes |
Practice location
11325 Saint Charles Rock RdBridgeton, MO 63044-2722
Phone 636-825-2200 · Fax 636-825-2201
Mailing address
1 Jefferson Barracks DrSaint Louis, MO 63125-4181
Other practice locations
1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Saint Louis, MO 63125-4181
Phone 314-894-6552
100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Chesterfield, MO 63005-1271
Phone 636-825-2200 · Fax 636-825-2201
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