Individual
LAUREN WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
25 PRESIDENT ST, STATEN ISLAND, NY 10314-4119
(718) 382-0045
Mailing address
25 PRESIDENT ST, STATEN ISLAND, NY 10314-4119
(718) 382-0045
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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