Dr. Gordon K Weiner, PHD
Psychologist, Clinical in Waban, Massachusetts
1942336094- Practice location
- 91 Wyman St, Waban, MA 02468-1529
- Phone
- 617-393-2271
- Fax
- —
- Last updated
- July 8, 2007
Gordon Kenneth Weiner is a Psychologist, Clinical based in Waban, MA. Gordon Kenneth Weiner practices in Waban, MA and has the professional credentials of PHD. The NPI Number for Gordon Kenneth Weiner is 1942336094 and holds a License No. 4126 (MA). The current practice location address for Gordon Kenneth Weiner is 91 Wyman St, Waban, MA 02468-1529 and can be reached out via phone at 617-393-2271.
Provider Profile Details
- NPI Number
- 1942336094
- Provider Name
- Gordon Kenneth Weiner
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 91 Wyman St, Waban, MA 02468-1529
- Phone Number
- 617-393-2271
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 25, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 Wyman St
Waban, MA 02468-1529 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-1529
- Phone Number
- 617-393-2271
Provider Business Mailing Address Details
- Address
- 38 Carroll St
Watertown, MA 02472-3333 - City
- Watertown
- State
- MA
- Zip
- 02472-3333
- Phone Number
- 617-393-2271
License Information
- License Number
- 4126
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gordon K Weiner, PHD?
The NPI number of Dr. Gordon K Weiner, PHD is 1942336094. It was assigned on February 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Gordon K Weiner, PHD?
Dr. Gordon K Weiner, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4126.
Where does Dr. Gordon K Weiner, PHD practice?
The practice location is 91 Wyman St, Waban, MA 02468-1529. The office can be reached at 617-393-2271 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942336094 directly on the NPPES registry website.