Individual
LYNNE WEIXEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5662 COUNTY ROAD 2330, LENOX, MO 65541-9361
(573) 729-4426
(573) 729-4426
Mailing address
5662 COUNTY ROAD 2330, LENOX, MO 65541-9361
(573) 729-4426
(573) 729-4426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
001352
CT
103TC0700X
Clinical Psychologist
Primary
2011007901
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972800928
—
MO
Enumeration date
02/26/2011
Last updated
04/16/2014
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