Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2641 | NJ |
N | 103T00000X | Psychologist | 2641 | NJ |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2641 | NJ |
N | 103G00000X | Clinical Psychologist | 2641 | NJ |
N | 103TC0700X | Clinical Psychologist | 2641 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2641 | NJ |
NPI | 1033252556 |
---|---|
Provider Name | Dr. Elayne Insler Weitz |
First Address | Somerville, NJ 08876-1811 |
Second Address | Somerville, NJ 08876-1811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |