Individual
COREY WEICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
7101 BASSWOOD DR, O FALLON, MO 63368-8124
(314) 518-7770
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020023519
MO
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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