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Individual

DR. DINA N WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120
Mailing address
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLETOWN, CT 06457
(860) 347-9911
(860) 347-8120

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001810
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00413183500
CT
01
060001810CT02
BCBS
CT
01
080233
MHN
01
0992711
UHC
01
163461
VALUE OPTIONS
01
2059366
CIGNA
01
4412392
AETNA
CT
01
738160
MAGELLAN
01
P740502
OXFORD
Enumeration date
06/22/2006
Last updated
05/26/2010
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