Individual
DR. MICHAEL WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 E NASA BLVD STE 101, MELBOURNE, FL 32901-1961
(321) 541-1972
(321) 372-1041
Mailing address
65 E NASA BLVD STE 101, MELBOURNE, FL 32901-1961
(321) 541-1972
(321) 372-1041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002562
CT
103T00000X
Psychologist
PS005339L
PA
103T00000X
Psychologist
Primary
PY10415
FL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
002562C
CT
103TB0200X
Cognitive & Behavioral Psychologist
PS005339L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
002562
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS005339L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851572598
DON'T KNOW
—
Enumeration date
11/23/2007
Last updated
03/26/2020
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