Individual
DIANE WEISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
8100 ROOSEVELT BLVD, SUITE 202, PHILADELPHIA, PA 19152-2900
(215) 535-5598
Mailing address
8100 ROOSEVELT BLVD, SUITE 202, PHILADELPHIA, PA 19152-2900
(215) 535-5598
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
41YA00083600
NJ
231H00000X
Audiologist
Primary
AT006266
PA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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