DR. VALERIE MICHELE WECK


Address: 2502 E Empire St, Suite C, Bloomington, IL 61704-3738
Phone: 3096637220

DR. VALERIE MICHELE WECK (NPI# 1679862056) 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) 1679862056
Entity Type Individual
Full Name DR. VALERIE MICHELE WECK
Credential PH.D.
Practice Address 2502 E Empire St
Suite C
Bloomington
IL 61704-3738
Mailing Address Po Box 604
Bloomington
IL 61702-0604
Practice Telephone 3096637220
Practice Fax Number 3095884115
Mailing Telephone 3096637220
Mailing Fax Number 3095884115
Enumeration Date 2011-04-06
Last Update Date 2011-04-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
20042457A IN Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071008098 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2502 E EMPIRE ST
SUITE C
City BLOOMINGTON
State IL
Zip Code 61704-3738

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NPI Name Taxonomy Address Enumeration
1235101619 Brian L Hamm Podiatrist 2502 E Empire St, Bloomington, IL 61704-3738 2006-02-01
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1699107797 Paige C. Holt Plastic Surgery 2502 E Empire St, Ste C, Bloomington, IL 61704-3738 2013-07-31
1295173128 Paige C Holt, Md, Ltd Plastic Surgery 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 2013-06-13
1306192810 Megan M Wallace Audiologist 2502 E Empire St, Bloomington, IL 61704-3738 2012-08-02
1770890097 Elaine Smith Registered Nurse 2502 E Empire St, Bloomington, IL 61704-3738 2010-09-08
1649466111 Crystal L Sweeney Nurse Practitioner 2502 E Empire St, Bloomington, IL 61704-3738 2007-09-19
1255527727 Laura C. Randolph Md Sc Clinic/Center 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 2007-09-19
1326233271 Barry Jay Riskin Psychiatry & Neurology 2502 E Empire St, Bloomington, IL 61704-3738 2007-09-12
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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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1356654693 James Wiltz Psychologist 2745 E Elderberry Ct, Bloomington, IN 47401-4307 2010-07-15
1528207784 Jennifer Elizabeth Koch Psychologist 2502 E Empire St Ste C, Bloomington, IL 61704-3739 2009-02-11
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Competitor

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City BLOOMINGTON
Zip Code 61704

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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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