Individual
DR. GLENNA MARIE WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 WEST WALNUT STREET, SPRINGFIELD, MO 65806-2096
(417) 425-9100
(417) 719-9002
Mailing address
205 WEST WALNUT STREET, SPRINGFIELD, MO 65806-2096
(417) 425-9100
(417) 719-9002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2002030467
MO
Other
Enumeration date
07/17/2006
Last updated
08/23/2018
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