Individual
DR. JOHN WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
711 D ST, #209, SAN RAFAEL, CA 94901-3707
(415) 457-8886
Mailing address
200 FORBES AVE, SAN ANSELMO, CA 94960-2314
(415) 457-8886
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5615
CA
103TC0700X
Clinical Psychologist
PSY5615
CA
103TH0100X
Health Service Psychologist
PSY5615
CA
Other
Enumeration date
07/24/2006
Last updated
06/27/2011
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