Individual
DR. EMMALINE WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
18611 CLIPPERVIEW RD, CHARLEVOIX, MI 49720-9711
(231) 547-7323
(231) 547-7327
Mailing address
18611 CLIPPERVIEW RD, CHARLEVOIX, MI 49720-9711
(231) 547-7323
(231) 547-7327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046482
VALUE OPTIONS
MI
01
—
1055752
CIGNA BEHAVIORAL HEALTH
MI
01
—
136230
COMPSYCH
MI
01
—
140447
CARE CHOICE
MI
01
—
207174
MHN
MI
01
—
55410-72564
U.S. BEHAVIORAL HEALTH
MI
01
—
5585230
AETNA
MI
01
—
58894
PPOM
MI
01
—
62OF34852
BLUECROSS BLUESHIELD
MI
01
—
I.P.046056
MAGELLAN
MI
Enumeration date
07/21/2006
Last updated
10/04/2011
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