Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
GLEN FENTON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1144246091 · enumerated 2006-07-14 · record updated 2021-01-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1465 S GRAND BLVD, SAINT LOUIS, MO, 63104-1003 (314) 577-5338 Fax (314) 268-6411 Google Maps Apple Maps OpenStreetMap
- Mailing address 1465 S GRAND BLVD, SAINT LOUIS, MO, 63104-1003 (314) 977-4866 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X · License MD2010-0078 NM
- Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X · Primary · License R5H36 MO
Published links
In this directory
MO St. Louis city Saint Louis Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Locations and evidence
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Practice location
SAINT LOUIS, MO, 631041003
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.