Provider Demographics
NPI:1952070963
Name:PFEFFER, GREGORY MORRIS
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:MORRIS
Last Name:PFEFFER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 STONECREST DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-4639
Mailing Address - Country:US
Mailing Address - Phone:636-208-4811
Mailing Address - Fax:
Practice Address - Street 1:320 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-4127
Practice Address - Country:US
Practice Address - Phone:636-243-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor