| Doctor Name: | DR. CLARICE LOUISE WARREN WEIL |
| NPI Number: | 1063413284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 00749 |
| Business Practice Address: | 764 Knolls Ct West Des Moines, IA - 502652741 |
| Business Phone Number: | 5152678098 |
| Business Fax Number: | 5152213183 |
| Mailing Address: | 764 Knolls Ct, WEST DES MOINES |
| State: | IA |
| Postal Code: | 502652741 |
| Phone Number: | 5152678098 |
| Fax Number: | 5152213183 |
| NPI Enumeration Date: | 08/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 00749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |