Provider Demographics
NPI:1013622943
Name:WEI, MENG
Entity Type:Individual
Prefix:
First Name:MENG
Middle Name:
Last Name:WEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:WEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:420 W DAYTON ST UNIT 1042
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3410
Mailing Address - Country:US
Mailing Address - Phone:060-862-8951
Mailing Address - Fax:
Practice Address - Street 1:420 W DAYTON ST UNIT 1042
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3410
Practice Address - Country:US
Practice Address - Phone:060-862-8951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician