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Individual

DR. CARL USHER WEITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
25221 MILES RD, SUITE F, WARRENSVILLE HEIGHTS, OH 44128-5474
(216) 586-9319
(216) 831-8492
Mailing address
25221 MILES RD, SUITE F, WARRENSVILLE HEIGHTS, OH 44128-5474
(216) 586-9319
(216) 831-8492

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1145
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0275625
OH
Enumeration date
07/24/2006
Last updated
05/19/2008
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