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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY IRA WEISSMAN, PH.D.

Active Sole Proprietor

DR. JAY IRA WEISSMAN, PH.D. is a Clinical Psychologist healthcare provider located in NEWTOWN SQUARE, Pennsylvania. NPI 1104986454 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · NEWTOWN SQUARE, PA

Registration Details

NPI Number
1104986454
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2006 (19.497522378599 yrs)
Last Updated
Jul 9, 2007
Licenses
PS 005215 L (PA)
B10000503 (DE)
Sole Proprietor
Yes

Practice Information

Address
12B SMEDLEY LN
SUITE 1
NEWTOWN SQUARE, PA, 190733206
Browse PA providers · Browse ZIP 19073
Phone
6103563724
Fax
6106580927
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in NEWTOWN SQUARE, PA

Name Credential NPI
MRS. LAURA ANN RUSSO-INNAMORATO PSYD 1003900044
DR. EMILY BERNBAUM CHAFFIN PSY.D. 1942586052
DR. ALEXANDRIA DIGUISEPPE PSY.D 1356070668
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.