Individual
LISA ANN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP,MA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 207, BINGHAM FARMS, MI 48025-4502
(248) 712-1129
(248) 569-9410
Mailing address
2511 TOWER HILL LN, ROCHESTER HILLS, MI 48306-3061
(586) 446-9807
(248) 569-9410
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2050
MI
103TC0700X
Clinical Psychologist
Primary
63010069762
MI
Other
Enumeration date
08/14/2014
Last updated
09/30/2016
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