| Doctor Name: | JOHN J. WEYROUGH |
| NPI Number: | 1316980865 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.S.W, L.C.S.W |
| License Number: | 6781-123 |
| Business Practice Address: | 225 N Beaumont Rd Suite 326 Prairie Du Chien, WI - 538211445 |
| Business Phone Number: | 6083260248 |
| Business Fax Number: | 6083264395 |
| Mailing Address: | 225 N Beaumont Rd, Suite 326 PRAIRIE DU CHIEN |
| State: | WI |
| Postal Code: | 538211445 |
| Phone Number: | 6083260248 |
| Fax Number: | 6083264395 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6781-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |