Weiss, Caroline Nicole

Weiss, Caroline Nicole is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Weiss, Caroline Nicole can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax: (651) 628-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4614 Minnesota

Profile Details

NPI number 1235157397
LBN Legal business name Weiss, Caroline Nicole
Credentials PSY.D, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 11th, 2021 - about 3 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 1235157397 NPPES
Minnesota MEDICAID 410640700

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