Individual
DR. JAY IRA WEISSMAN
Active
Individual
DR. JAY IRA WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
B10000503
DE
103TC0700X
Clinical Psychologist
Primary
PS 005215 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089393000
PERSONAL CHOICE
—
01
—
020720PHD
DE BLUE CROSS SHIELD
—
05
—
1000032392
—
DE
05
—
1000033857
—
DE
01
—
234431
COMPSYCH
—
01
—
2547468
AETNA
—
01
—
50294
CHRISTIANA CARE
—
01
—
628075
ANTHEM BLUE CROSS SHIELD
—
Enumeration date
12/09/2006
Last updated
07/09/2007
Update your record
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