| Theresa (tracy) M. Weeks, Psy.d, Llc | |
|
7681 Tylers Place Blvd Suite 2 West Chester OH 45069-6392 | |
| (513) 508-2628 | |
| (513) 779-9209 |
| Full Name | Theresa (tracy) M. Weeks, Psy.d, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7681 Tylers Place Blvd, West Chester, Ohio |
| Authorized Official Name and Position | Theresa M Weeks (SOLE PROPRIETOR) |
| Authorized Official Contact | 5132575873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa (tracy) M. Weeks, Psy.d, Llc 7681 Tylers Place Blvd Suite 2 West Chester OH 45069-6392 Ph: (513) 508-2628 | Theresa (tracy) M. Weeks, Psy.d, Llc 7681 Tylers Place Blvd Suite 2 West Chester OH 45069-6392 Ph: (513) 508-2628 |
| NPI Number | 1134514193 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Medicare PECOS PAC ID | 0547581696 |
|---|---|
| Medicare Enrollment ID | O20150602001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134514193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6838 (Ohio) | Primary |
| Provider Name | Theresa M Weeks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871558866 PECOS PAC ID: 2668660788 Enrollment ID: I20120323000121 |
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