Provider Demographics
NPI:1851576003
Name:WEBER, MELISSA D (MA)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:D
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9630 GRAVOIS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-4345
Mailing Address - Country:US
Mailing Address - Phone:314-544-5544
Mailing Address - Fax:314-544-5858
Practice Address - Street 1:9630 GRAVOIS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-4345
Practice Address - Country:US
Practice Address - Phone:314-544-5544
Practice Address - Fax:314-544-5858
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health