Doctor Name: | MICHAEL ALLEN WEISMAN |
NPI Number: | 1033565155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 900 College Park Dr Moon Township, PA - 151082374 |
Business Phone Number: | 4127731804 |
Business Fax Number: | |
Mailing Address: | 900 College Park Dr, MOON TOWNSHIP |
State: | PA |
Postal Code: | 151082374 |
Phone Number: | 4127731804 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2016 |
NPI Last Update Date: | 05/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |