Individual
DR. MARC M WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
261 UNION ST, NEW BEDFORD, MA 02740-5949
(508) 997-0096
(508) 997-0096
Mailing address
8 LYNNWOOD ST, NEW BEDFORD, MA 02740-1662
(508) 993-5684
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2329
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407786
BLUE CHIP RHODE ISLAND
MA
01
—
W02582
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/14/2006
Last updated
07/08/2007
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