Doctor Name: | DR. MICHAEL DALE WEIL |
NPI Number: | 1104932227 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 468 |
Business Practice Address: | 20 Grove St Peterborough, NH - 034581470 |
Business Phone Number: | 6039247462 |
Business Fax Number: | 6039242138 |
Mailing Address: | 20 Grove St, PETERBOROUGH |
State: | NH |
Postal Code: | 034581470 |
Phone Number: | 6039247462 |
Fax Number: | 6039242138 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |