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Contact Information

ANDREA WEISS
2200 BERQUIST DRIVE
STE 1 LACKLAND AFB
SAN ANTONIO, TX78236-9908
 Phone: 508-561-8326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREA WEISS · (Female)

NPI Number 1225424948
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2015
Last updated 05/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1516
  • LA License # 321325
  • VA License # 0810005516
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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