Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY0004136 | FL |
Y | 103T00000X | Psychologist | PY0004136 | FL |
N | 103TA0700X | Adult Development & Aging Psychologist | PY0004136 | FL |
N | 103G00000X | Clinical Psychologist | PY0004136 | FL |
N | 103TC0700X | Clinical Psychologist | PY0004136 | FL |
N | 103TH0100X | Health Service | PY0004136 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY0004136 | FL |
NPI | 1649316167 |
---|---|
Provider Name | Dr. Walter S. Weinstein |
First Address | Delray Beach, FL 33484-8167 |
Second Address | Boca Raton, FL 33434-5615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 30/03/2017 |