MEDICARE: DR. JOSEPH S WEISS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS015188L	PA
2	103TC0700X	Clinical Psychologist	PY60279451	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1370716	OTHER	PA	HIGHMARK
2	630549	OTHER	PA	HIGHMARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609825322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH S WEISS PHD

Provider Business Mailing Address
First Line	:	6701 52ND AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3403
Country	:	US
Telephone Number	:	206-745-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 52ND AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3403
Country	:	US
Telephone Number	:	206-745-4933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	05/22/2020

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Directions to “ DR. JOSEPH S WEISS PHD” Practice Location

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