| Victoria L Weiss Psyd Pc | |
|
427 S Stephenson Avenue Suite 212 Iron Mountain MI 49801-3458 | |
| (906) 776-9000 | |
| (906) 776-9002 |
| Full Name | Victoria L Weiss Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 427 S Stephenson Avenue, Iron Mountain, Michigan |
| Authorized Official Name and Position | Victoria L Weiss (PRESIDENT) |
| Authorized Official Contact | 9067769000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria L Weiss Psyd Pc Po Box 901 Iron Mountain MI 49801-0901 Ph: (906) 776-9000 | Victoria L Weiss Psyd Pc 427 S Stephenson Avenue Suite 212 Iron Mountain MI 49801-3458 Ph: (906) 776-9000 |
| NPI Number | 1427222397 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 1254596794 |
|---|---|
| Medicare Enrollment ID | O20120706000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427222397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007240 (Michigan) | Primary |
| Provider Name | Victoria L Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578687398 PECOS PAC ID: 6608031141 Enrollment ID: I20120706000265 |
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