Brycie Weiden
Clinical Psychologist
515 Ne Glen Oak Ave Ste 101
Peoria
, Illinois 61603-3167
Brycie Weiden
Clinical Psychologist
515 Ne Glen Oak Ave Ste 101
Peoria
, Illinois 61603-3167
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Brycie Weiden
- 2341 Emerald Ln
- Yorkville, IL
- Zip : 60560-3055
- Phone :
Second Address
- Brycie Weiden
- 515 Ne Glen Oak Ave Ste 101
- Peoria, IL
- Zip : 61603-3167
- Phone : (309) 655-7378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | ||
| Y | 103TC0700X | Clinical Psychologist |
National Provider Identifier
| NPI | 1003425786 |
|---|---|
| Provider Name | Brycie Weiden |
| First Address | Yorkville, IL 60560-3055 |
| Second Address | Peoria, IL 61603-3167 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2020 |
| Last Update Date | 28/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.