Provider Demographics
NPI:1932481751
Name:WEISSMAN, HOWARD VICTOR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:VICTOR
Last Name:WEISSMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 BROOKFIELD AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-1442
Mailing Address - Country:US
Mailing Address - Phone:718-356-6637
Mailing Address - Fax:718-356-8776
Practice Address - Street 1:262 BROOKFIELD AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-1442
Practice Address - Country:US
Practice Address - Phone:718-356-6637
Practice Address - Fax:718-356-8776
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7468470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health