Individual
DR. JEREMIAH WEINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3511 LACLEDE AVE, SHANNON HALL, ROOM 208, SAINT LOUIS, MO 63103-2010
(314) 977-2137
Mailing address
3511 LACLEDE AVE, SHANNON HALL, ROOM 208, SAINT LOUIS, MO 63103-2010
(314) 977-2137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010033592
MO
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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