Sophia Rebecca Olton Weber, is a
Psychologist based in Glendale, Wisconsin. Sophia Rebecca Olton Weber is licensed to practice in Wisconsin (license number 3988-57) and her current practice location is
1720 W Florist Ave Ste 125, Glendale, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 247-0801.
NPI number for Sophia Rebecca Olton Weber is 1336732049 and her current mailing address is 1720 W Florist Ave Ste 125, Glendale, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336732049.
Healthcare Provider's Profile
| Full Name | Sophia Rebecca Olton Weber |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1720 W Florist Ave Ste 125, Glendale, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336732049
- Provider Enumeration Date: 02/12/2021
- Last Update Date: 10/01/2021
Medical Identifiers
Medical identifiers for Sophia Rebecca Olton Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336732049 | NPI | - | NPPES |
| 3988-57 | Other | WI | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 3988-57 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Rebecca Olton Weber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sophia Rebecca Olton Weber,
1720 W Florist Ave Ste 125,
Glendale, WI 53209-3862
Ph: (414) 247-0801 | Sophia Rebecca Olton Weber,
1720 W Florist Ave Ste 125,
Glendale, WI 53209-3862
Ph: (414) 247-0801 |
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