| Marie C. Weil, Psyd, Llc | |
|
206 E 11th St Silver City NM 88061-5503 | |
| (575) 342-1236 | |
| Not Available |
| Full Name | Marie C. Weil, Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 206 E 11th St, Silver City, New Mexico |
| Authorized Official Name and Position | Marie C Weil (MEMBER) |
| Authorized Official Contact | 5753421236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie C. Weil, Psyd, Llc Po Box 922 Silver City NM 88062-0922 Ph: (575) 342-1236 | Marie C. Weil, Psyd, Llc 206 E 11th St Silver City NM 88061-5503 Ph: (575) 342-1236 |
| NPI Number | 1861054298 |
|---|---|
| Provider Enumeration Date | 07/06/2019 |
| Last Update Date | 03/25/2023 |
| Certification Date | 03/25/2023 |
| Medicare PECOS PAC ID | 3971831785 |
|---|---|
| Medicare Enrollment ID | O20190817000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861054298 | NPI | - | NPPES |
| 79050093 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| Provider Name | Marie C Weil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083893424 PECOS PAC ID: 8527209550 Enrollment ID: I20171229000015 |
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