Individual
DR. LAURA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W PENNSYLVANIA AVE, SAN DIEGO, CA 92103-4016
(619) 342-1412
Mailing address
110 W PENNSYLVANIA AVE, SAN DIEGO, CA 92103-4016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21254
CA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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