Individual
DR. MARTIN FREDERICK WEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2602 WICKLOW LOOP, MARTIN WEIN EDD, RICHMOND, VA 23236
(804) 745-4078
Mailing address
2602 WICKLOW LOOP, MARTIN WEIN EDD, RICHMOND, VA 23236
(804) 745-4078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140664
ANTHEM
VA
01
—
2031483
CIGNA
VA
05
—
7702779
—
VA
Enumeration date
11/06/2006
Last updated
06/25/2019
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