Individual
DR. JUDITH LEONA WEISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV NEUROLOGY PEDIATRICS, STE 2130, SAINT LOUIS, MO 63110-1002
(314) 454-6120
(314) 454-4225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6120
(314) 454-4225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009008016
MO
2084E0001X
Epilepsy Physician
Primary
2009008016
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2009008016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209189406
—
MO
Enumeration date
06/19/2008
Last updated
04/17/2025
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