Individual
DR. RICHARD ALAN WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
3738 MANAYUNK AVE, PHILADELPHIA, PA 19128-3705
(999) 999-9999
Mailing address
3738 MANAYUNK AVE, PHILADELPHIA, PA 19128-3705
(215) 487-3792
(215) 487-3792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005710-L
PA
103TA0700X
Adult Development & Aging Psychologist
PS-005710-L
PA
103TC0700X
Clinical Psychologist
PS-005710-L
PA
103TH0100X
Health Service Psychologist
PS-005710-L
PA
Other
Enumeration date
06/22/2006
Last updated
09/26/2023
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