Individual
MICHAEL S WEISSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3210 CHURCHLAND BLVD, SUITE 4, CHESAPEAKE, VA 23321-5253
(757) 483-3404
(757) 483-0461
Mailing address
1329 BOTETOURT GDNS, NORFOLK, VA 23517-2203
(757) 483-3404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810-000761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028681
ANTHEM
VA
05
—
N0007781342
—
VA
Enumeration date
03/09/2006
Last updated
07/08/2007
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