| Doctor Name: | PAUL M WEINHOLD |
| NPI Number: | 1033138193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 5822 |
| Business Practice Address: | 45 N Station Plz Suite 307 Great Neck, NY - 110215011 |
| Business Phone Number: | 5164668330 |
| Business Fax Number: | 5167736017 |
| Mailing Address: | 45 N Station Plz, Suite 307 GREAT NECK |
| State: | NY |
| Postal Code: | 110215011 |
| Phone Number: | 5164668330 |
| Fax Number: | 5167736017 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |