Weiner, Gordon Kenneth

Weiner, Gordon Kenneth is an sole proprietor health care provider with primary practice located at 91 Wyman St , Waban MA 02468-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Weiner, Gordon Kenneth can be contacted via phone (617) 393-2271.

Contact Information

Primary practice address
91 Wyman St Waban MA 02468-1529
Phone: (617) 393-2271
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4126 Massachusetts

Profile Details

NPI number 1942336094
LBN Legal business name Weiner, Gordon Kenneth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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