Healthcare Provider Details

I. General information

NPI: 1932528395
Provider Name (Legal Business Name): BENJAMIN WEINSTEIN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 EASTLAKE AVE E # 1006
SEATTLE WA
98102-3419
US

IV. Provider business mailing address

2226 EASTLAKE AVE E # 1006
SEATTLE WA
98102-3419
US

V. Phone/Fax

Practice location:
  • Phone: 626-800-6875
  • Fax: 626-842-0230
Mailing address:
  • Phone: 626-800-6875
  • Fax: 626-842-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY60373414
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: