Individual
JOHN R. WEISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
96 DEXTER RD, NEWTON, MA 02460-2409
(617) 916-2007
Mailing address
96 DEXTER RD, NEWTON, MA 02460-2409
(617) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8479
MA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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