Weaver, Timothy L

Weaver, Timothy L is an sole proprietor health care provider with primary practice located at 11736 Newberry Grove Loop , Riverview FL 33579-3902. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Weaver, Timothy L can be contacted via phone (908) 415-0632.

Contact Information

Primary practice address
11736 Newberry Grove Loop Riverview FL 33579-3902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 9939 Florida

Profile Details

NPI number 1891020004
LBN Legal business name Weaver, Timothy L
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2009
Last updated Jan 16th, 2014 - about 10 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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