Individual
HARVEY A WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
640
WI
103TB0200X
Cognitive & Behavioral Psychologist
640
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39009600
—
WI
Enumeration date
06/20/2005
Last updated
12/15/2017
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