Individual
CHANTEL MARIE WEISENMULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Mailing address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6543
OH
103TC0700X
Clinical Psychologist
Primary
8417
WV
Other
Enumeration date
05/04/2009
Last updated
04/06/2022
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