Provider Demographics
NPI:1679862056
Name:WECK, VALERIE MICHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:MICHELE
Last Name:WECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:ROBINSON
Mailing Address - State:IL
Mailing Address - Zip Code:62454-0854
Mailing Address - Country:US
Mailing Address - Phone:812-269-2306
Mailing Address - Fax:812-602-0078
Practice Address - Street 1:204 W HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:IL
Practice Address - Zip Code:62454-1710
Practice Address - Country:US
Practice Address - Phone:812-269-2306
Practice Address - Fax:812-602-0078
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042457A103TC0700X
IL071008098103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical