Individual
BRUCE WEINHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA
Contact information
Practice address
6207 OLIVER LOVING TRL, AUSTIN, TX 78749-1832
(512) 970-3975
(512) 288-9478
Mailing address
6207 OLIVER LOVING TRL, AUSTIN, TX 78749-1832
(512) 970-3975
(512) 288-9478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
23392
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
23392
TX
Other
Enumeration date
03/29/2007
Last updated
01/10/2012
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