Provider Demographics
NPI:1750356267
Name:WEISBERG, RICHARD HERBERT (PSYD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HERBERT
Last Name:WEISBERG
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8984 DARROW RD STE 2-145
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2186
Mailing Address - Country:US
Mailing Address - Phone:216-291-1010
Mailing Address - Fax:
Practice Address - Street 1:8984 DARROW RD STE 2-145
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2186
Practice Address - Country:US
Practice Address - Phone:216-291-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-18
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5361103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHWECP21372Medicare ID - Type UnspecifiedRICH'S MEDICARE NUMBER