Organization
CHILD AND TEEN THERAPY SOLUTIONS LLC
Active
Organization
CHILD AND TEEN THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MARIE WEIS PHD (SOLE PROPRIETOR)
(417) 425-9100
Entity
Organization
Contact information
Practice address
205 WEST WALNUT STREET, SPRINGFIELD, MO 65806-2096
(417) 425-9100
(417) 595-4038
Mailing address
205 WEST WALNUT STREET, SPRINGFIELD, MO 65806-2096
(417) 425-9100
(417) 595-4038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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