| Doctor Name: | MAYRA CRISTIANA WEIL |
| NPI Number: | 1083078885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 9 Harding Hwy Pittsgrove, NJ - 083184401 |
| Business Phone Number: | 8563854111 |
| Business Fax Number: | 8563584120 |
| Mailing Address: | 80 W Main St, MENDHAM |
| State: | NJ |
| Postal Code: | 079451257 |
| Phone Number: | 9735435656 |
| Fax Number: | 9735431361 |
| NPI Enumeration Date: | 04/07/2016 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |