Individual
DR. STEVEN MARK WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10420 OLD OLIVE ST RD, SUITE 209, CREVE COEUR, MO 63141-5938
(314) 567-9321
(314) 567-7355
Mailing address
12024 SPRUCE HAVEN DR, SAINT LOUIS, MO 63146-4822
(314) 872-9379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01139
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27247
BLUE CROSS BLUE SHIELD
MO
Enumeration date
07/11/2006
Last updated
07/08/2007
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