Provider Demographics
NPI:1750815056
Name:WEINSTEIN, ALLISON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 NW 12TH AVE
Mailing Address - Street 2:4018A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-243-0235
Mailing Address - Fax:305-243-4512
Practice Address - Street 1:1601 NW 12TH AVE
Practice Address - Street 2:4018A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-0235
Practice Address - Fax:305-243-4512
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9075103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical