Provider Demographics
NPI:1588189401
Name:WEESE, CLAUDIA ELIZABETH
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ELIZABETH
Last Name:WEESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4519 PRESCOT DR
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-5865
Mailing Address - Country:US
Mailing Address - Phone:757-876-2442
Mailing Address - Fax:
Practice Address - Street 1:215 W MCELROY RD STE 8
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-3537
Practice Address - Country:US
Practice Address - Phone:757-876-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional