Individual
DR. JERRY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5076 MATILDA ST, DALLAS, TX 75206-4278
(214) 369-4173
Mailing address
5076 MATILDA ST, DALLAS, TX 75206-4278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-1199
TX
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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