Individual
JEANETTE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED.
Contact information
Practice address
607 OAK SHADE AVE, ELKINS PARK, PA 19027-1713
(267) 496-3885
Mailing address
607 OAK SHADE AVE, ELKINS PARK, PA 19027-1713
(267) 496-3885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006492L
PA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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