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Individual

DR. EMMA LORRAINE WEIZENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(617) 525-9108
Mailing address
117 IRVING ST, WATERTOWN, MA 02472-2705
(512) 217-2825

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11981
MA
103TC0700X
Clinical Psychologist
11981
MA

Other

Enumeration date
05/23/2020
Last updated
03/19/2024
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