Jay Ira Weissman in Newtown Square - Clinical
Jay Ira Weissman - NPI 1104986454
Jay Ira Weissman is a Clinical in Newtown Square, Pennsylvania. Jay Ira Weissman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jay Ira Weissman is 1104986454. The last update date is 2007-07-09.
Jay Ira Weissman's current location address is 12b Smedley Ln, Newtown Square, Pennsylvania. You can contact this provider via phone number 6103563724 and fax number 6106580927. The mailing address for Jay Ira Weissman is 12b Smedley Ln, Newtown Square, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Ira Weissman |
|---|---|
| Address | 12b Smedley Ln, Newtown Square, Pennsylvania |
| Phone Number | 6103563724 |
| Fax Number | 6106580927 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104986454 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12b Smedley Ln |
|---|---|
| City | Newtown Square |
| State | Pennsylvania (PA) |
| Post Code | 190733206 |
| Phone Number | 6103563724 |
| Fax Number | 6106580927 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS 005215 L |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89393000 | PERSONAL CHOICE | ||
| 1000032392 | DE | -- | |
| 2547468 | AETNA | ||
| 50294 | CHRISTIANA CARE | ||
| 628075 | ANTHEM BLUE CROSS SHIELD | ||
| 89393000 | KEYSTONE HEALTH PLAN EAST | ||
| 89393000 | AMERIHEALTH | ||
| 1000033857 | DE | -- | |
| 234431 | COMPSYCH | ||
| 020720PHD | DE BLUE CROSS SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jay Ira Weissman by the Centers for Medicare & Medicaid Services?
The Jay Ira Weissman has been issued the NPI (National Provider Identifier) 1104986454 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jay Ira Weissman's facilities are geographically located?
The facilities of Jay Ira Weissman are physically situated at the following location: 12B Smedley Ln, Newtown Square, PA, 190733206.
What is the Jay Ira Weissman's area of specialization and corresponding taxonomy classification?
The Jay Ira Weissman's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Jay Ira Weissman receive its 1104986454 assignment from the Centers for Medicare & Medicaid Services?
The Jay Ira Weissman was assigned its 1104986454 on 2006-12-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jay Ira Weissman last refreshed?
The information related to the Jay Ira Weissman, including its address, specialty, and other relevant details, was last updated on 2007-07-09.