Organization
ROGER A WEISS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A WEISS PH.D. (PSYCHOLOGIST)
80832979998
Entity
Organization
Contact information
Practice address
75-5744 ALII DR, KAILUA KONA, HI 96740-1784
(808) 329-7999
Mailing address
PO BOX 3178, KAILUA KONA, HI 96745-3178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY-267
HI
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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