Leslie Bloch Weiss in New Haven - Clinical

Leslie Bloch Weiss - NPI 1134152770

Leslie Bloch Weiss is a Clinical in New Haven, Connecticut. Leslie Bloch Weiss practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Bloch Weiss is 1134152770. The last update date is 2007-07-08.

Leslie Bloch Weiss's current location address is 315 Whitney Ave, New Haven, Connecticut. You can contact this provider via phone number 2038656156 and fax number 2037772257. The mailing address for Leslie Bloch Weiss is 315 Whitney Ave, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Bloch Weiss
Address 315 Whitney Ave, New Haven, Connecticut
Phone Number 2038656156
Fax Number 2037772257
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1134152770
Provider Enumeration Date 2006-07-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 315 Whitney Ave
City New Haven
State Connecticut (CT)
Post Code 65113715
Phone Number 2038656156
Fax Number 2037772257

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 629
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6896475 CT VALUE OPTIONS
MHN CT 173197
060000629CT01 CT ANTHEM

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FAQs about Leslie Bloch Weiss

What is the unique provider identifier assigned to Leslie Bloch Weiss?

The Leslie Bloch Weiss has been issued the NPI (National Provider Identifier) 1134152770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Leslie Bloch Weiss's facilities are situated?

The facilities of Leslie Bloch Weiss are physically located at the following address: 315 Whitney Ave, New Haven, CT, 65113715.

What is the Leslie Bloch Weiss's specialty and taxonomy code?

The Leslie Bloch Weiss's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134152770 to Leslie Bloch Weiss?

The Centers for Medicare & Medicaid Services assigned the 1134152770 to Leslie Bloch Weiss on 2006-07-08.

When was the information pertaining to Leslie Bloch Weiss most recently updated or revised?

The details related to Leslie Bloch Weiss, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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