Healthcare Provider Details

I. General information

NPI: 1861581845
Provider Name (Legal Business Name): CHERIE WEISS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 FOULK RD STE 201
WILMINGTON DE
19803-2754
US

IV. Provider business mailing address

1407 FOULK RD STE 201
WILMINGTON DE
19803-2754
US

V. Phone/Fax

Practice location:
  • Phone: 302-475-1880
  • Fax: 302-475-4964
Mailing address:
  • Phone: 302-475-1880
  • Fax: 302-475-4964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberB1-0000279
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: