Lynne Weixel, PH.D.
Individual provider Active NPI Clinical Psychologist · Lenox, MO
NPI 1972800928 · NPPES record last updated Apr 16, 2014
Key facts
- NPI
- 1972800928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2011007901 (MO)
- Practice address
- 5662 County Road 2330
Lenox, MO 65541-9361 - Phone
- (573) 729-4426
- Fax
- (573) 729-4426
- NPI assigned
- Feb 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001352 | CT | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001352 | CT | |
| Clinical Psychologist | 103TC0700X | 2011007901 | MO | Yes |
Addresses
Primary practice location
5662 County Road 2330
Lenox, MO 65541-9361
Mailing address
5662 County Road 2330
Lenox, MO 65541-9361
Phone (573) 729-4426
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972800928 | Medicaid | MO |
Other providers in Lenox, MO
All providers in Lenox, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.