NPI 1093092413

Pamela Jean Weber

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 9890 Clayton Rd, Saint Louis, MO 63124-1685
Phone: (314) 452-1529

Authorised official

Name: Pamela Jean Weber
Title: LCSW
Phone: (314) 452-1529

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2011035620 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1093092413
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 14 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.