Child And Teen Therapy Solutions Llc | |
205 West Walnut Street Springfield MO 65806-2096 | |
(417) 425-9100 | |
(417) 595-4038 |
Full Name | Child And Teen Therapy Solutions Llc |
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Speciality | Psychologist - Clinical |
Location | 205 West Walnut Street, Springfield, Missouri |
Authorized Official Name and Position | Glenna Marie Weis (SOLE PROPRIETOR) |
Authorized Official Contact | 4174259100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Child And Teen Therapy Solutions Llc 205 West Walnut Street Springfield MO 65806-2096 Ph: (417) 425-9100 | Child And Teen Therapy Solutions Llc 205 West Walnut Street Springfield MO 65806-2096 Ph: (417) 425-9100 |
NPI Number | 1255807293 |
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Provider Enumeration Date | 10/17/2018 |
Last Update Date | 10/17/2018 |
Identifier | Type | State | Issuer |
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1255807293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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