| Weiss Therapy Centers | |
|
4362 Northlake Blvd Suite 208 Palm Beach Gardens FL 33410-6275 | |
| (561) 630-0865 | |
| (561) 630-0866 |
| Full Name | Weiss Therapy Centers |
|---|---|
| Speciality | Psychologist |
| Location | 4362 Northlake Blvd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Lonny Cliff Weiss (PRESIDENT) |
| Authorized Official Contact | 5616300865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weiss Therapy Centers 4362 Northlake Blvd Suite 208 Palm Beach Gardens FL 33410-6275 Ph: (561) 630-0865 | Weiss Therapy Centers 4362 Northlake Blvd Suite 208 Palm Beach Gardens FL 33410-6275 Ph: (561) 630-0865 |
| NPI Number | 1962443754 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 8628072014 |
|---|---|
| Medicare Enrollment ID | O20060825000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962443754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 6534 (Florida) | Primary |
| Provider Name | Lonny C Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154319655 PECOS PAC ID: 5395758858 Enrollment ID: I20060822000186 |
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