Individual
MARK WEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-5881
(717) 428-0518
Mailing address
PO BOX 64515, BALTIMORE, MD 21264-4515
(717) 428-0552
(717) 428-0518
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
02871
MD
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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