Individual
HEATHER WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP, NCSP
Contact information
Practice address
6021 S. 74TH AVENUE, SUMMIT, IL 60501
(708) 458-7590
Mailing address
6021 S 74TH AVE, SUMMIT, IL 60501-1500
(708) 458-7590
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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