Individual
DR. MARYANN THERESA WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S., B.A.
Contact information
Practice address
809 JEFFERSON STREET, POST OFFICE BOX 783, WHITEHALL, PA 18052-5525
(610) 585-8157
(610) 266-8040
Mailing address
809 JEFFERSON STREET, POST OFFICE BOX 783, WHITEHALL, PA 18052-5525
(610) 585-8157
(610) 266-8040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD043771E
PA
2084P0802X
Addiction Psychiatry Physician
MD043771E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD043771E
PA
261QM0850X
Adult Mental Health Clinic/Center
MD043771E
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MD043771E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD043771E
STATE LICENSE
PA
Enumeration date
07/02/2007
Last updated
09/11/2025
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