| Doctor Name: | DR. CAROL G WEISS |
| NPI Number: | 1326031683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 15440 |
| Business Practice Address: | 1001 Hermosa Ave Hermosa Beach, CA - 902543781 |
| Business Phone Number: | 3103745191 |
| Business Fax Number: | 3107982197 |
| Mailing Address: | 1001 Hermosa Ave, HERMOSA BEACH |
| State: | CA |
| Postal Code: | 902543781 |
| Phone Number: | 3103745191 |
| Fax Number: | 3107982197 |
| NPI Enumeration Date: | 08/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 15440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |