| Carl U. Weitman, Ph.d., Inc. | |
|
25221 Miles Rd Suite F Warrensville Heights OH 44128-5474 | |
| (216) 586-9319 | |
| (216) 831-8492 |
| Full Name | Carl U. Weitman, Ph.d., Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 25221 Miles Rd, Warrensville Heights, Ohio |
| Authorized Official Name and Position | Carl Usher Weitman (PRESIDENT) |
| Authorized Official Contact | 2165869319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl U. Weitman, Ph.d., Inc. 25221 Miles Rd Suite F Warrensville Heights OH 44128-5474 Ph: (216) 586-9319 | Carl U. Weitman, Ph.d., Inc. 25221 Miles Rd Suite F Warrensville Heights OH 44128-5474 Ph: (216) 586-9319 |
| NPI Number | 1528229325 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Medicare PECOS PAC ID | 5890866412 |
|---|---|
| Medicare Enrollment ID | O20080625000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528229325 | NPI | - | NPPES |
| 0275625 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1145 (Ohio) | Primary |
| Provider Name | Carl Usher Weitman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669494035 PECOS PAC ID: 2961404546 Enrollment ID: I20070212000095 |
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