| Doctor Name: | GARY DAVID WEISS |
| NPI Number: | 1053583757 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MC |
| License Number: | PC003429 |
| Business Practice Address: | 1800 West St Fifth Floor Homestead, PA - 151202563 |
| Business Phone Number: | 4124764071 |
| Business Fax Number: | 4124764072 |
| Mailing Address: | 1800 West St, Fifth Floor HOMESTEAD |
| State: | PA |
| Postal Code: | 151202563 |
| Phone Number: | 4124764071 |
| Fax Number: | 4124764072 |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 05/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC003429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |