Individual
DR. JORDAN KEITH WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1405 MEDFORD RD, WYNNEWOOD, PA 19096-2420
(610) 642-4925
Mailing address
1405 MEDFORD RD, WYNNEWOOD, PA 19096-2420
(610) 642-4925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015608
PA
103TF0200X
Forensic Psychologist
PS015608
PA
Other
Enumeration date
01/04/2007
Last updated
06/07/2012
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