| Theodore J Weber M Div Psyd Pa | |
|
348 Chelsea Place Ave Ormond Beach FL 32174-0683 | |
| (478) 475-1299 | |
| Not Available |
| Full Name | Theodore J Weber M Div Psyd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 348 Chelsea Place Ave, Ormond Beach, Florida |
| Authorized Official Name and Position | Theodore Weber (PSYD) |
| Authorized Official Contact | 4784751299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore J Weber M Div Psyd Pa Po Box 28410 Macon GA 31221-8410 Ph: (478) 475-1299 | Theodore J Weber M Div Psyd Pa 348 Chelsea Place Ave Ormond Beach FL 32174-0683 Ph: (478) 475-1299 |
| NPI Number | 1790925386 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790925386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6429 (Florida) | Primary |
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