Individual
DR. THOMAS WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1814 GREENBERRY RD, BALTIMORE, MD 21209-4537
(410) 578-3999
(410) 578-1087
Mailing address
1814 GREENBERRY RD, BALTIMORE, MD 21209-4537
(410) 578-3999
(410) 578-1087
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
713
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-2383040
FED TAX ID
MD
Enumeration date
12/01/2006
Last updated
07/01/2010
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