Provider Demographics
NPI:1619918604
Name:WEISS, ALAN M (MA MFT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:M
Last Name:WEISS
Suffix:
Gender:M
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 AIRMOTIVE WAY
Mailing Address - Street 2:SUITE 175-O
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-786-2333
Mailing Address - Fax:775-786-4451
Practice Address - Street 1:1325 AIRMOTIVE WAY
Practice Address - Street 2:SUITE 175-O
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-786-2333
Practice Address - Fax:775-786-4451
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV301106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist