| John Raymond Weiss, | |
|
928 Lexington Way, Waunakee, WI 53597-2104 | |
| (608) 712-9362 | |
| Not Available |
| Full Name | John Raymond Weiss |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 928 Lexington Way, Waunakee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316440910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Psychotherapy Center Of Waunakee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578196168 PECOS PAC ID: 4284054347 Enrollment ID: O20201012002577 |
| Mailing Address | Practice Location Address |
|---|---|
| John Raymond Weiss, 928 Lexington Way, Waunakee, WI 53597-2104 Ph: (608) 712-9362 | John Raymond Weiss, 928 Lexington Way, Waunakee, WI 53597-2104 Ph: (608) 712-9362 |
Mr. Christopher Webster, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 Phone: 608-849-4161 | |
Devan Tobias, MFT-IT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 251 Progress Way Ste 102, Waunakee, WI 53597 Phone: 608-849-5430 | |
Katherine Silverwood, MS, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1001 Arboretum Dr Ste 110, Waunakee, WI 53597 Phone: 608-886-9023 Fax: 608-200-2417 | |
Melissa Mary Carole Gustavson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 Baker St Ste C, Waunakee, WI 53597 Phone: 608-849-5430 | |
Ashley Clemens, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1108 Stephenson Ln Ste 116, Waunakee, WI 53597 Phone: 608-849-4161 |