Provider Demographics
NPI:1013038736
Name:WEISMAN, DAVID SCHOR (DOCTORATE)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCHOR
Last Name:WEISMAN
Suffix:
Gender:M
Credentials:DOCTORATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13504 CAVALETTI CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-6691
Mailing Address - Country:US
Mailing Address - Phone:703-727-1477
Mailing Address - Fax:301-977-8287
Practice Address - Street 1:13504 CAVALETTI CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-6691
Practice Address - Country:US
Practice Address - Phone:703-727-1477
Practice Address - Fax:301-977-8287
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01426103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist