Provider Demographics
NPI:1922363480
Name:WEISBERG, RISA (PHD)
Entity type:Individual
Prefix:DR
First Name:RISA
Middle Name:
Last Name:WEISBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RISA
Other - Middle Name:WEISBERG
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:5 WALPOLE ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-7000
Mailing Address - Country:US
Mailing Address - Phone:508-722-2292
Mailing Address - Fax:
Practice Address - Street 1:5 WALPOLE ST UNIT 8
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:MA
Practice Address - Zip Code:02030-7000
Practice Address - Country:US
Practice Address - Phone:508-722-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00741103TC0700X
MAPSY11657103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical