Individual
JAY A WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WASHINGTON ST, STE 208, MONROE, LA 71201-6714
(318) 322-8482
(318) 322-5694
Mailing address
300 WASHINGTON ST, STE 208, MONROE, LA 71201-6714
(318) 322-8482
(318) 322-5694
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12286R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1533980
—
LA
Enumeration date
03/20/2006
Last updated
01/30/2012
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