Individual
DR. TERRI LYNN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
221 N GRAND BLVD, SHANNON HALL 217, SAINT LOUIS, MO 63103-2006
(314) 977-2198
(314) 977-1006
Mailing address
221 N GRAND BLVD, SHANNON HALL 217, SAINT LOUIS, MO 63103-2006
(314) 977-2198
(314) 977-1006
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
R0425
MO
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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