Organization · NPI-2

Carol Weiss

Community/Behavioral Health · Plantation, FL

NPI number1790137693
StatusActive
Last updated in NPPESJul 5, 2016

Details

NPI
1790137693
Entity type
Organization (NPI-2)
Legal business name
Carol Weiss
Organization subpart
Yes
Enumeration date
Jul 5, 2016
Last updated
Jul 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

7890 Peters Rd
Ste. G-107
Plantation, FL 33324-4028

Phone 954-577-0075

Mailing address

7890 Peters Rd
Ste. G-107
Plantation, FL 33324-4028

Authorized official

Helene Cohen
Psy.D.
9545770075

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