| Dr. Weissman Psychology, Inc | |
|
5706 Corsa Ave Ste 200i Westlake Village CA 91362-4057 | |
| (818) 336-1041 | |
| Not Available |
| Full Name | Dr. Weissman Psychology, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5706 Corsa Ave Ste 200i, Westlake Village, California |
| Authorized Official Name and Position | Ellen Weissman (PSYCHOLOGIST) |
| Authorized Official Contact | 8183361041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Weissman Psychology, Inc 5706 Corsa Ave Ste 200i Westlake Village CA 91362-4057 Ph: (818) 336-1041 | Dr. Weissman Psychology, Inc 5706 Corsa Ave Ste 200i Westlake Village CA 91362-4057 Ph: (818) 336-1041 |
| NPI Number | 1023765120 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 6305232075 |
|---|---|
| Medicare Enrollment ID | O20220405002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023765120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen Khamistos Weissman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811013881 PECOS PAC ID: 5092142117 Enrollment ID: I20200228002348 |
| Provider Name | Dustin Raymond Weissman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801181821 PECOS PAC ID: 5294146056 Enrollment ID: I20201130001279 |
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