Individual
RICHARD BRUCE WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
16120 N FLORIDA AVE, LUTZ, FL 33549-6129
(813) 962-6573
Mailing address
16120 N FLORIDA AVE, LUTZ, FL 33549-6129
(813) 962-6573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 0003463
FL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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