Provider Demographics
NPI:1821528126
Name:WEICHMAN, MARILYN HUTCHINSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:HUTCHINSON
Last Name:WEICHMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARILYN
Other - Middle Name:H
Other - Last Name:WEICHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2810 FORGE PL
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1825
Mailing Address - Country:US
Mailing Address - Phone:215-794-5710
Mailing Address - Fax:
Practice Address - Street 1:500 N WEST ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2366
Practice Address - Country:US
Practice Address - Phone:215-345-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003048L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist