Individual
DR. MICHAEL DALE WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
20 GROVE ST, PETERBOROUGH, NH 03458-1470
(603) 924-7462
(603) 924-2138
Mailing address
20 GROVE ST, PETERBOROUGH, NH 03458-1470
(603) 924-7462
(603) 924-2138
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
468
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015523
HARVARD PILGRIM HEALTH
—
01
—
0606182Y0NH01
ANTHEM BLUE CROSS
NH
01
—
1002835
CIGNA
NH
05
—
30002642
—
NH
01
—
NH 468
HEALTH CARE VALUE MANAGEM
NH
Enumeration date
08/22/2006
Last updated
07/09/2007
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