Individual
DR. JEFFREY RALPH WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5869 FORBES AVE, PITTSBURGH, PA 15217-1601
(412) 422-9160
(412) 422-8180
Mailing address
5869 FORBES AVE, PITTSBURGH, PA 15217-1601
(412) 422-9160
(412) 422-8180
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS008655L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646581
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/07/2006
Last updated
07/08/2007
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