Individual
DR. MARK B WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
430 OAK GROVE ST, SUITE 407, MINNEAPOLIS, MN 55403-3253
(612) 520-9159
Mailing address
430 OAK GROVE ST, SUITE 407, MINNEAPOLIS, MN 55403-3253
(612) 520-9159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1311
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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