Provider Demographics
NPI:1285719278
Name:WEINSTOCK, DAVID (JD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:WEINSTOCK
Suffix:
Gender:M
Credentials:JD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 E RAINTREE DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2695
Mailing Address - Country:US
Mailing Address - Phone:480-840-0400
Mailing Address - Fax:480-840-0499
Practice Address - Street 1:8350 E RAINTREE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2695
Practice Address - Country:US
Practice Address - Phone:480-840-0400
Practice Address - Fax:480-840-0499
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic