Organization
JANE F WEILENMAN, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE F WEILENMAN PHD (OWNER)
(912) 667-7716
Entity
Organization
Contact information
Practice address
400 JOHNNY MERCER BLVD, SUITE G, SAVANNAH, GA 31410-2144
(912) 667-7716
Mailing address
400 JOHNNY MERCER BLVD, P O BOX 30633, SAVANNAH, GA 31410-2166
(912) 667-7716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951673A
—
GA
Enumeration date
09/08/2005
Last updated
06/18/2008
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