Provider Demographics
NPI:1568765386
Name:WEINSTOCK, MARJORIE CLAIRE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:CLAIRE
Last Name:WEINSTOCK
Suffix:
Gender:F
Credentials:PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:NMCSD - MENTAL HEALTH DEPT.
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1098
Mailing Address - Country:US
Mailing Address - Phone:619-532-5264
Mailing Address - Fax:619-532-5687
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD - MENTAL HEALTH DEPT.
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-5264
Practice Address - Fax:619-532-5687
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00740103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical