Individual
DAVID CHARLES WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
345 COTTAGE RD, SOUTH PORTLAND, ME 04106-3919
(207) 799-9595
Mailing address
27 MERRIMAC PL, CAPE ELIZABETH, ME 04107-1624
(207) 799-7054
(207) 767-7380
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF1830
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41Z047229ME01
ANTHEM BCBS
ME
Enumeration date
12/12/2006
Last updated
07/08/2007
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