Weaver, Robert A
Weaver, Robert A is an sole proprietor health care provider with primary practice located at 30 Boston Post Rd , Wayland MA 01778-2400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Weaver, Robert A can be contacted via phone (508) 358-1112.Contact Information
Primary practice address
30 Boston Post Rd
Wayland MA 01778-2400
Phone: (508) 358-1112
Fax: (508) 358-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3083 | Massachusetts |
Profile Details
| NPI number | 1558406645 |
|---|---|
| LBN Legal business name | Weaver, Robert A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558406645 | NPPES |
| Massachusetts | Other | W03264 | BLUE CROSS BLUE SHIELD |
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