Provider Demographics
NPI:1295624559
Name:WEISS, HANNAH LOUISE (PHD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:LOUISE
Last Name:WEISS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15600 36TH AVE N STE 140
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3372
Mailing Address - Country:US
Mailing Address - Phone:763-308-5255
Mailing Address - Fax:612-392-7974
Practice Address - Street 1:15600 36TH AVE N STE 140
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3372
Practice Address - Country:US
Practice Address - Phone:763-308-5255
Practice Address - Fax:612-392-7974
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP7217103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist