Individual
DR. LAURENCE WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
148 LINDEN ST, SUITE 209, WELLESLEY, MA 02482-7900
(781) 235-2662
(781) 235-2682
Mailing address
148 LINDEN ST, SUITE 209, WELLESLEY, MA 02482-7900
(781) 235-2662
(781) 235-2682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4389
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4389
MA
103TA0700X
Adult Development & Aging Psychologist
Primary
4389
MA
103TC0700X
Clinical Psychologist
4389
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04265
BC-BS PROVIDER
MA
Enumeration date
12/12/2006
Last updated
09/11/2025
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