Individual
ROSLYN G. WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75 PRENTICE RD, NEWTON, MA 02459-1325
(617) 244-9761
Mailing address
75 PRENTICE RD, NEWTON, MA 02459-1325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA 608
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727176
TUFTS HEALTH PLAN PROVIDE
MA
01
—
W03423
BLUE CROSS BLUE SHIELD PR
MA
Enumeration date
07/12/2006
Last updated
07/11/2007
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