Provider Demographics
NPI:1639265242
Name:WEIN, TOVA ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:TOVA
Middle Name:ANNE
Last Name:WEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:60 ROWENA RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2440
Mailing Address - Country:US
Mailing Address - Phone:617-964-8564
Mailing Address - Fax:781-449-3134
Practice Address - Street 1:992 GREAT PLAIN AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492
Practice Address - Country:US
Practice Address - Phone:617-964-8564
Practice Address - Fax:781-449-3134
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1842PR103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA668312OtherTUFTS HEALTH PLAN
MA325910OtherMAGELLAN
MA668312OtherTUFTS HEALTH PLAN