Provider Demographics
NPI:1841850484
Name:NAVARRO, PERRI JULIA GRABOW (PHD)
Entity type:Individual
Prefix:DR
First Name:PERRI
Middle Name:JULIA GRABOW
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PERRI
Other - Middle Name:JULIA
Other - Last Name:GRABOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3037 LYME ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-0331
Mailing Address - Country:US
Mailing Address - Phone:812-746-3746
Mailing Address - Fax:
Practice Address - Street 1:1 JEFFERSON BARRACKS DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-4181
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist