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DR. CARL USHER WEITMAN PH.D.

Clinical Neuropsychologist

Warrensville Heights, Ohio

Provider NPI: 1669494035

Provider Information:
DR. CARL USHER WEITMAN PH.D.
Gender: M
Sole Proprietor


Practice Location:
25221 MILES RD SUITE F WARRENSVILLE HEIGHTS, OH 44128 US
Tel: 216-586-9319  Fax: 216-831-8492

Business Mailing Address:
25221 MILES RD SUITE F WARRENSVILLE HEIGHTS, OH 44128 US
Tel: 216-586-9319  Fax: 216-831-8492

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH1145

Other Provider Identifiers:

IssuerNumberStateType
0275625OH05
FEDERAL TAX ID NUMBER34-1310356OH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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