Individual
DIANE E WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
715 HILL ST, SUITE 270, MADISON, WI 53705-3542
(608) 274-4487
Mailing address
715 HILL ST, SUITE 270, MADISON, WI 53705-3542
(608) 274-4487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2058
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39402600
—
WI
Enumeration date
04/12/2006
Last updated
07/08/2007
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