Weaver, Jacqueline R

Weaver, Jacqueline R is an individual health care provider with primary practice located at 2030 Thistle Hill Dr Ste 202 , Spring Grove PA 17362-1161. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Weaver, Jacqueline R can be contacted via phone (717) 843-7348.

Contact Information

Primary practice address
2030 Thistle Hill Dr Ste 202 Spring Grove PA 17362-1161
Phone: (717) 843-7348
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 05792 Maryland
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05792 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS018080 Pennsylvania

Profile Details

NPI number 1588008510
LBN Legal business name Weaver, Jacqueline R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2013
Last updated Aug 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588008510 NPPES
Maryland Other 1841337805 HOSPITAL

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