Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 01426 | MD |
Y | 103T00000X | Psychologist | 01426 | MD |
NPI | 1013038736 |
---|---|
Provider Name | Dr. David Schor Weisman |
First Address | Gainesville, VA 20155-6691 |
Second Address | Gainesville, VA 20155-6691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 26/05/2021 |