Individual
TOBIAS C WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
718 COLUMBIA ST, NEWPORT, KY 41071-1837
(859) 491-6510
(859) 491-6589
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(589) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1393
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE PIN NUMBER GROUP
KY
Enumeration date
04/13/2006
Last updated
11/26/2007
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