Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TH0004X | Health Psychologist | ||
Y | 103TH0004X | Health Psychologist | 27383 | CA |
NPI | 1851788962 |
---|---|
Provider Name | Dr. Danielle D. Weisman |
First Address | San Diego, CA 92154-7930 |
Second Address | San Diego, CA 92154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2015 |
Last Update Date | 19/05/2018 |