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Individual

DR. PETER WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
237 NE CHKALOV DR STE 118, VANCOUVER, WA 98684-5054
(360) 606-5453
Mailing address
PO BOX 872708, VANCOUVER, WA 98687-2708
(360) 606-5453

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
015520
NY
103TC0700X
Clinical Psychologist
Primary
PY60427281
WA

Other

Enumeration date
10/07/2015
Last updated
10/07/2015
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