Provider Demographics
NPI:1417314758
Name:DEBORAH MEYROWITZ WEISS LLC
Entity Type:Organization
Organization Name:DEBORAH MEYROWITZ WEISS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYROWITZ WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:267-566-2002
Mailing Address - Street 1:1111 STREET RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4250
Mailing Address - Country:US
Mailing Address - Phone:267-566-2002
Mailing Address - Fax:
Practice Address - Street 1:1111 STREET RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4250
Practice Address - Country:US
Practice Address - Phone:267-566-2002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005712-L103TC0700X
PAMFT00480106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty