| Bette J Weisman Lcsw Llc | |
|
255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 | |
| (636) 939-2550 | |
| Not Available |
| Full Name | Bette J Weisman Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 255 Spencer Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | Bette Weisman (OWNER) |
| Authorized Official Contact | 6369392550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bette J Weisman Lcsw Llc 255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 Ph: () - | Bette J Weisman Lcsw Llc 255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 Ph: (636) 939-2550 |
| NPI Number | 1912446055 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 5395020176 |
|---|---|
| Medicare Enrollment ID | O20170317000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912446055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bette J Weisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457350126 PECOS PAC ID: 9931136652 Enrollment ID: I20050725000236 |
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