Individual
MARC A WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
12401 OLIVE BLVD, STE. 205, SAINT LOUIS, MO 63141-5448
(314) 275-7705
Mailing address
12401 OLIVE BLVD, STE. 205, SAINT LOUIS, MO 63141-5448
(314) 275-7705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
887
MO
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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