Individual
DR. FREDRIC J. WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
301 OXFORD VALLEY RD, # 603-A, YARDLEY, PA 19067-7706
(215) 493-0350
Mailing address
21 COUNTRY LANE WAY, PHILADELPHIA, PA 19115-2124
(215) 464-3205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-003699L
PA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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