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NPI Code Detail

MEDICARE: KATHRYN WEISS PLPC

MEDICARE: KATHRYN WEISS PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2024025149MO

General Provider Information

NPI Number : 1174346670
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN WEISS PLPC
Provider Business Mailing Address
First Line : 9666 OLIVE BLVD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9666 OLIVE BLVD STE 510
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63132-3026
Country : US
Telephone Number : 314-991-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 11/04/2024

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Directions to “ KATHRYN WEISS PLPC” Practice Location

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