Individual
JAY WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2795 W MAIN ST STE 25A, SNELLVILLE, GA 30078-3075
(770) 982-2352
(770) 982-8848
Mailing address
2795 W MAIN ST STE 25A, SNELLVILLE, GA 30078-3075
(770) 982-2352
(770) 982-8848
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2257
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000915582A
—
GA
Enumeration date
05/22/2007
Last updated
08/27/2013
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