Individual
MARK WEILAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3308 SAMSON WAY, SUITE 101, BELLEVUE, NE 68123-3234
(402) 827-1577
(402) 898-3134
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
479
NE
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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