Weissman, Jay Ira

Weissman, Jay Ira is an sole proprietor health care provider with primary practice located at 12B Smedley Ln Suite 1, Newtown Square PA 19073-3206. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Weissman, Jay Ira can be contacted via phone (610) 356-3724.

Contact Information

Primary practice address
12B Smedley Ln Suite 1 Newtown Square PA 19073-3206
Phone: (610) 356-3724
Fax: (610) 658-0927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS 005215 L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X B10000503 Delaware

Profile Details

NPI number 1104986454
LBN Legal business name Weissman, Jay Ira
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104986454 NPPES
Other 0089393000 PERSONAL CHOICE
MEDICAID 1000032392 PERSONAL CHOICE
Other 2547468 PERSONAL CHOICE
Other 50294 PERSONAL CHOICE
Other 628075 PERSONAL CHOICE
Other 0089393000 PERSONAL CHOICE
Other 0089393000 PERSONAL CHOICE
MEDICAID 1000033857 PERSONAL CHOICE
Other 234431 PERSONAL CHOICE
Other 020720PHD PERSONAL CHOICE

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