Marcie Weiner Portman, PSY.D.

Individual provider Active NPI Clinical Psychologist · Rosemont, PA

NPI 1164665014 · NPPES record last updated Apr 8, 2009

Key facts

NPI
1164665014
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS004978-L (PA)
Practice address
1062 Lancaster Ave.
Suite 2
Rosemont, PA 19010
Phone
(610) 525-7527
Fax
(610) 525-3997
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS004978-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Postpartum Stress Center, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS004978-L PA Yes

Addresses

Primary practice location

1062 Lancaster Ave.
Suite 2
Rosemont, PA 19010

Mailing address

1062 Lancaster Ave.
Suite 2
Rosemont, PA 19010
Phone (610) 525-7527

Other names

  • Dr. Marcie Weiner Professional name

Other providers in Rosemont, PA

All providers in Rosemont, PA · Clinical Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.