Individual
PATRICK JEROME WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LPC, NCC
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-2170
(417) 820-6598
Mailing address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-2170
(417) 820-6598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2007037811
MO
103TC0700X
Clinical Psychologist
2010036623
MO
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
01/02/2024
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