Provider Demographics
NPI:1962973321
Name:WEISMAN, HANNAH LESLIE (PHD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:LESLIE
Last Name:WEISMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 28TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4146
Mailing Address - Country:US
Mailing Address - Phone:206-457-3052
Mailing Address - Fax:
Practice Address - Street 1:515 28TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4146
Practice Address - Country:US
Practice Address - Phone:206-457-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30460103TC0700X
WAPY61390419103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical