Weis, Dina N

Weis, Dina N is an individual health care provider with primary practice located at 300 Plaza Middlesex 3Rd Floor, Middletown CT 06457. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Weis, Dina N can be contacted via phone (860) 347-9911.

Contact Information

Primary practice address
300 Plaza Middlesex 3Rd Floor Middletown CT 06457
Phone: (860) 347-9911
Fax: (860) 347-8120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001810 Connecticut

Profile Details

NPI number 1093751521
LBN Legal business name Weis, Dina N
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated May 26th, 2010 - about 15 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 1093751521 NPPES
Other 163461 VALUE OPTIONS
Other 738160 VALUE OPTIONS
Other 0992711 VALUE OPTIONS
Other 2059366 VALUE OPTIONS
Other 060001810CT02 VALUE OPTIONS
Other P740502 VALUE OPTIONS
Other 080233 VALUE OPTIONS
Other 4412392 VALUE OPTIONS
MEDICAID 00413183500 VALUE OPTIONS

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