Individual
DR. THERESA MARIE WIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
1101 LAKE ST, SUITE 310, OAK PARK, IL 60301-1085
(708) 256-6358
(708) 524-8758
Mailing address
1101 LAKE ST, SUITE 310, OAK PARK, IL 60301-1085
(708) 256-6358
(708) 524-8758
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178005286
IL
103TC0700X
Clinical Psychologist
Primary
071008216
IL
Other
Enumeration date
12/28/2007
Last updated
03/05/2013
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