Provider Demographics
NPI:1518145275
Name:WEINGARTEN, MEIRA N (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MEIRA
Middle Name:N
Last Name:WEINGARTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FORREST AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2252
Mailing Address - Country:US
Mailing Address - Phone:215-385-3383
Mailing Address - Fax:215-689-4368
Practice Address - Street 1:111 FORREST AVE
Practice Address - Street 2:FL 2
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2252
Practice Address - Country:US
Practice Address - Phone:215-385-3383
Practice Address - Fax:215-689-4368
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017548103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA347800Medicare UPIN