Individual
DR. ELLEN KHAMISTOS WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5706 CORSA AVE STE 200I, WESTLAKE VILLAGE, CA 91362-4057
(818) 336-1041
Mailing address
PO BOX 1968, AGOURA HILLS, CA 91376-1968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
24880
CA
Other
Enumeration date
03/22/2007
Last updated
04/05/2021
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