Individual
DR. JAQUELINE WEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 W 72ND ST, SUITE 1E, NEW YORK, NY 10023-3402
(212) 580-6562
Mailing address
290 WEST END AVENUEELEVEN C, NEW YORK, NY 10023
(212) 877-8788
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/27/2007
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