Individual
DR. ASHLEY WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(636) 556-0873
Mailing address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2013031915
MO
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
03/13/2019
Last updated
06/11/2019
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