Individual
DR. SUSAN MYRNA WEISS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
695 TRUMAN PKWY, HYDE PARK, MA 02136-3552
(617) 361-4548
Mailing address
695 TRUMAN PKWY, HYDE PARK, MA 02136-3552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4127
MA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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