Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4578 | MA |
Y | 103TC0700X | Clinical Psychologist | 4578 | MA |
NPI | 1003959990 |
---|---|
Provider Name | Dr. Risa M Weinrit |
First Address | Needham, MA 02492-4032 |
Second Address | Brookline, MA 02446-4808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |