Provider Demographics
NPI:1053651604
Name:WEISSBERG, HADAS VERED
Entity Type:Individual
Prefix:
First Name:HADAS VERED
Middle Name:
Last Name:WEISSBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 WASHINGTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6877
Mailing Address - Country:US
Mailing Address - Phone:617-803-5269
Mailing Address - Fax:
Practice Address - Street 1:336 WASHINGTON ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6877
Practice Address - Country:US
Practice Address - Phone:617-803-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health