DR. JEREMIAH WEINSTOCK


Address: 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010
Phone: 3149772137

DR. JEREMIAH WEINSTOCK (NPI# 1326335837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326335837
Entity Type Individual
Full Name DR. JEREMIAH WEINSTOCK
Credential PH.D.
Practice Address 3511 Laclede Ave
Shannon Hall, Room 208
Saint Louis
MO 63103-2010
Practice Telephone 3149772137
Mailing Telephone 3149772137
Enumeration Date 2011-07-05
Last Update Date 2011-07-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2010033592 MO Behavioral Health & Social Service Providers

Office Location

Street Address 3511 LACLEDE AVE
SHANNON HALL, ROOM 208
City SAINT LOUIS
State MO
Zip Code 63103-2010

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1912329954 Chanel Mitchell Social Worker 1430 Olive, Suite 500, Saint Louis, MO 63103 2014-01-10
1194067116 Hassan R Jafri Physical Therapist 1722 Olive, Sutie 201, St. Louis, MO 63103 2013-03-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1144774647 Carolyn Ashley Myles Versical Psychologist 26 Godwin Ln, Saint Louis, MO 63124 2016-08-12
1376980326 Joshua Paul Beaman-kogan Psychologist 1 University Blvd # 232, Stadler Hall, Saint Louis, MO 63121-4400 2013-05-31
1104176064 Brooke Kraushaar,psy.d,llc Psychologist 6321 Alamo Ave, Saint Louis, MO 63105-3103 2012-09-18
1013237957 Christi Moore Psychologist 6347 Plymouth Ave, Saint Louis, MO 63133-1909 2010-06-02
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Competitor

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City SAINT LOUIS
Zip Code 63103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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