MEDICARE: DR. BENJAMIN WEINSTEIN 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	PY60373414	WA

General Provider Information

NPI Number	:	1932528395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN WEINSTEIN PHD

Provider Business Mailing Address
First Line	:	2226 EASTLAKE AVE E # 1006
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3419
Country	:	US
Telephone Number	:	626-800-6875
Fax Number	:	626-842-0230

Provider Business Practice Location Address
First Line	:	2226 EASTLAKE AVE E # 1006
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3419
Country	:	US
Telephone Number	:	626-800-6875
Fax Number	:	626-842-0230

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	11/04/2025

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