Provider Demographics
NPI:1215501721
Name:WEKSNER PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:WEKSNER PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEKSNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD NCSP
Authorized Official - Phone:978-206-1726
Mailing Address - Street 1:365 BOSTON POST RD # 146
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3023
Mailing Address - Country:US
Mailing Address - Phone:978-206-1726
Mailing Address - Fax:
Practice Address - Street 1:365 BOSTON POST RD # 146
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3023
Practice Address - Country:US
Practice Address - Phone:978-206-1726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty