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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON RACHELLE FREEMAN WEISS, BCBA

Active Sole Proprietor

MRS. SHANNON RACHELLE FREEMAN WEISS, BCBA is a Cognitive & Behavioral Psychologist healthcare provider located in CARBONDALE, Illinois. NPI 1508046822 is currently active in the NPPES registry. Verify at CMS.

Cognitive & Behavioral Psychologist · CARBONDALE, IL

Registration Details

NPI Number
1508046822
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2007 (18.628838203632 yrs)
Last Updated
Nov 5, 2007
Sole Proprietor
Yes

Practice Information

Address
1433 N CYPRESS DR
CARBONDALE, IL, 629010785
Browse IL providers · Browse ZIP 62901
Phone
6189679326
Primary Specialty
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.