Provider Demographics
NPI:1194748608
Name:WEINBERG, RONALD WILLIAM (EDD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WILLIAM
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 NORMAN PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3466
Mailing Address - Country:US
Mailing Address - Phone:908-233-9561
Mailing Address - Fax:908-233-9561
Practice Address - Street 1:760 NORMAN PL
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3466
Practice Address - Country:US
Practice Address - Phone:908-233-9561
Practice Address - Fax:908-233-9561
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100190300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist