Doctor Name: | HELENA L WEISL |
NPI Number: | 1154320109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C, LP,CAADC |
License Number: | 6301009466 |
Business Practice Address: | 22776 Three Notch Rd Suite 102 Lexington Park, MD - 206533368 |
Business Phone Number: | 6103486682 |
Business Fax Number: | 3017803639 |
Mailing Address: | 11005 Old Marlboro Pike, UPPER MARLBORO |
State: | MD |
Postal Code: | 207722727 |
Phone Number: | 2407557282 |
Fax Number: | 3017803639 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301009466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |