National Provider Identifier
Jed H. Weitzen, PH.D.
Jed H. Weitzen, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 273-6946.
Profile Overview
- NPI
- 1497804900
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- January 10, 2007
- Last Updated
- July 08, 2007
Practice Location
- 416 N Tioga St
- Ithaca, NY 14850-4229
Phone: (607) 273-6946
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1497804900
- Entity Type
- Individual
- Last Name
- Weitzen
- First Name
- Jed
- Middle Name
- H.
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 416 N Tioga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4229
- Mailing Country
- US
- Mailing Phone
- (607) 273-6946
- Mailing Fax
- (607) 256-1680
- Practice Street Address
- 416 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4229
- Practice Country
- US
- Practice Phone
- (607) 273-6946
- Practice Fax
- (607) 256-1680
- Enumeration Date
- January 10, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)