Individual
DR. JONATHAN WEINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 471-4609
Mailing address
136 GLENDALE DR, BURLINGTON, IA 52601-1502
(319) 752-0033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00683
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232868
—
IA
Enumeration date
06/12/2006
Last updated
07/23/2007
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