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NPI Code Detail

MEDICARE: DR. MONICA WEISS PSY.D.

MEDICARE: DR. MONICA WEISS PSY.D.
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
1103T00000XPsychologist2527057WI

General Provider Information

NPI Number : 1629112610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA WEISS PSY.D.
Provider Business Mailing Address
First Line : 5838 ROANOKE DR
Second Line :
City : FITCHBURG
State : WI
Zip : 53719-1630
Country : US
Telephone Number : 608-274-0732
Fax Number :
Provider Business Practice Location Address
First Line : 6502 GRAND TETON PLZ STE 206
Second Line :
City : MADISON
State : WI
Zip : 53719-1047
Country : US
Telephone Number : 608-827-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MONICA WEISS PSY.D.” Practice Location

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