Individual
JAY M WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.DO
Contact information
Practice address
1256 BRIARCLIFF RD NE, ATLANTA, GA 30306-2636
(404) 727-3973
Mailing address
1256 BRIARCLIFF RD NE, ATLANTA, GA 30306-2636
(404) 727-3973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001930
GA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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