Doctor Name: | JAYNE WEYER-SMITH |
NPI Number: | 1013239342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 442-123 |
Business Practice Address: | 707 W Moreland Blvd Suite 5 Waukesha, WI - 531882400 |
Business Phone Number: | 2625420123 |
Business Fax Number: | 2625421199 |
Mailing Address: | 707 W Moreland Blvd, Suite 5 WAUKESHA |
State: | WI |
Postal Code: | 531882400 |
Phone Number: | 2625420123 |
Fax Number: | 2625421199 |
NPI Enumeration Date: | 03/01/2010 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 442-123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |