Individual
DR. REBECCA M. WIEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3825 NORTHERN PIKE, STE 202, MONROEVILLE, PA 15146-2161
(412) 480-7325
(412) 373-7324
Mailing address
3825 NORTHERN PIKE, STE 202, MONROEVILLE, PA 15146-2161
(412) 980-7325
(412) 247-1037
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS002777L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001738510
—
PA
01
—
163887
VALUE OPTIONS
—
01
—
204748
UPMC
PA
01
—
2062936
CIGNA
PA
01
—
547860
BCBS
PA
Enumeration date
10/18/2005
Last updated
12/06/2013
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