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Individual

SARA L WEISENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
115 MILL ST., MAIL STOP 234, BELMONT, MA 02478-1064
(617) 855-3183
Mailing address
115 MILL ST., MAIL STOP 234, BELMONT, MA 02478-1064
(617) 855-3183

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
023615
NY
103G00000X
Clinical Neuropsychologist
6301013024
MI
103G00000X
Clinical Neuropsychologist
Primary
PSY11828
MA
103TC0700X
Clinical Psychologist
6301013024
MI

Other

Enumeration date
03/27/2008
Last updated
12/27/2024
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