Individual
DR. ALICE DEBORAH WEISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1107 KENILWORTH DR STE 320, TOWSON, MD 21204-2135
(410) 937-8029
(410) 550-1610
Mailing address
212 RIDGE AVE, TOWSON, MD 21286-5432
(410) 937-8029
(410) 550-1610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020198
EMPLOYER'S HEALTH PROGRAM
MD
Enumeration date
11/20/2007
Last updated
01/07/2021
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