Doctor Name: | PAULA S WEISSHAAR |
NPI Number: | 1043220841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 0904003448 |
Business Practice Address: | 5206a Rolling Rd Burke, VA - 220151605 |
Business Phone Number: | 7035608592 |
Business Fax Number: | 7039786093 |
Mailing Address: | 3441 Round Table Ct, ANNANDALE |
State: | VA |
Postal Code: | 220031363 |
Phone Number: | 7035608592 |
Fax Number: | 7039786093 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904003448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |