Individual
DR. ROGER A WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
75 7544 ALII DR, KAILUA KONA, HI 96740
(808) 329-7999
Mailing address
PO BOX 3178, KAILUA KONA, HI 96745-3178
(808) 329-7999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY267
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256-7
—
HI
Enumeration date
11/27/2006
Last updated
07/08/2007
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