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General NPI Number Information
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NPI Number | 1023765120
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Entity Type | Organization
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Legal Business Name | DR. WEISSMAN PSYCHOLOGY, INC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 5706 CORSA AVE STE 200I
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4057
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Country | US
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Telephone | 818-336-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 5706 CORSA AVE STE 200I
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4057
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Country | US
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Telephone | 818-336-1041
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ELLEN WEISSMAN
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Credential | PSYD
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Telephone | 818-336-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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