| Jeff Weber, Ed.d., P.c. | |
|
4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 | |
| (678) 714-9590 | |
| (678) 714-9535 |
| Full Name | Jeff Weber, Ed.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4411 Suwanee Dam Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Julie Weber (OFFIE MANAGER) |
| Authorized Official Contact | 4046422725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Weber, Ed.d., P.c. 4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 Ph: (678) 714-9590 | Jeff Weber, Ed.d., P.c. 4411 Suwanee Dam Rd Suite 920 Suwanee GA 30024-8701 Ph: (678) 714-9590 |
| NPI Number | 1245566603 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245566603 | NPI | - | NPPES |
| 007720544E | Medicaid | GA | |
| 66BBFHB | Other | GA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2094 (Georgia) | Primary |
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