Individual
DR. URSULA WIESE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
219 CREEKSIDE OFFICE DRIVE, WENTZVILLE, MO 63385-3290
(636) 357-0136
(636) 639-1004
Mailing address
7 COUNTRY RD, P.O. BOX 186, FORISTELL, MO 63348-1722
(636) 332-6906
(636) 639-1004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2007036957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114164977
NPI (1)
—
01
—
1649503772
NPI (2)
—
Enumeration date
01/15/2009
Last updated
11/17/2010
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