Doctor Name: | DR. ELAYNE INSLER WEITZ |
NPI Number: | 1033252556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 2641 |
Business Practice Address: | 25 N Doughty Ave Somerville, NJ - 088761811 |
Business Phone Number: | 9085261177 |
Business Fax Number: | 9085263139 |
Mailing Address: | 25 N Doughty Ave, SOMERVILLE |
State: | NJ |
Postal Code: | 088761811 |
Phone Number: | 9085261177 |
Fax Number: | 9085263139 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2641 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |