Individual
ANDREA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4901
MA
Other
Enumeration date
03/12/2007
Last updated
10/20/2014
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