Provider Demographics
NPI:1447797071
Name:MEIRA WEINGARTEN, PSYD, PLLC
Entity Type:Organization
Organization Name:MEIRA WEINGARTEN, PSYD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEIRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:WEINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-385-3383
Mailing Address - Street 1:111 FORREST AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2252
Mailing Address - Country:US
Mailing Address - Phone:215-385-3833
Mailing Address - Fax:215-689-4368
Practice Address - Street 1:111 FORREST AVE FL 2
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2252
Practice Address - Country:US
Practice Address - Phone:215-385-3833
Practice Address - Fax:215-689-4368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017548103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA347800Medicare UPIN