Kevin James Weis in Columbus - Clinical Child & Adolescent

Kevin James Weis - NPI 1699791541

Kevin James Weis is a Clinical Child & Adolescent in Columbus, Georgia. Kevin James Weis practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Kevin James Weis is 1699791541. The last update date is 2010-01-12.

Kevin James Weis's current location address is 2325 Brookstone Centre Pkwy, Columbus, Georgia. You can contact this provider via phone number 7066536841 and fax number 7066537843. The mailing address for Kevin James Weis is 2325 Brookstone Centre Pkwy, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin James Weis
Address 2325 Brookstone Centre Pkwy, Columbus, Georgia
Phone Number 7066536841
Fax Number 7066537843
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1699791541
Provider Enumeration Date 2006-07-14
Last Updated Date 2010-01-12

Provider Mailing Address Detail

Address 2325 Brookstone Centre Pkwy
City Columbus
State Georgia (GA)
Post Code 319044500
Phone Number 7066536841
Fax Number 7066537843

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PSY003142
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
54641 FL BLUECROSSBLUESHIELD
7761336 FL AETNA PROVIDER NUMBER

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FAQs about Kevin James Weis

What is the unique 10-digit identifier code issued to Kevin James Weis by the Centers for Medicare & Medicaid Services?

The Kevin James Weis has been assigned the NPI (National Provider Identifier) 1699791541 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kevin James Weis is geographically located?

The Kevin James Weis is physically situated at the following location: 2325 Brookstone Centre Pkwy, Columbus, GA, 319044500.

What is Kevin James Weis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kevin James Weis is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.

On what date did the Kevin James Weis receive the assignment of its 1699791541 from the Centers for Medicare & Medicaid Services?

The Kevin James Weis was issued its 1699791541 by the Centers for Medicare & Medicaid Services on 2006-07-14.

As of what date were the details pertaining to Kevin James Weis last refreshed?

The information related to the Kevin James Weis, including its address, specialty, and other relevant details, was last updated on 2010-01-12.

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