DR. Kenneth Mark Weiss, PH.D.

NPI #1760492730 in Brecksville, Ohio

Provider Information

NPI Number: 1760492730
Entity Type: Individual
Name: DR. Kenneth Mark Weiss, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10000 BRECKSVILLE RD
Address 2: VA MEDICAL CENTER - 51A
City: Brecksville
State: Ohio
ZIP Code: 44141-3204
Phone: (440) 526-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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