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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