Weber, Theodore Joseph
Weber, Theodore Joseph is an individual health care provider with primary practice located at 348 Chelsea Place Ave , Ormond Beach FL 32174-0683. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Weber, Theodore Joseph can be contacted via phone (386) 795-7673.Contact Information
Primary practice address
348 Chelsea Place Ave
Ormond Beach FL 32174-0683
Phone: (386) 795-7673
Fax: (386) 677-2107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6429 | Florida |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY6429 | Florida |
Profile Details
NPI number | 1316975691 |
---|---|
LBN Legal business name | Weber, Theodore Joseph |
Credentials | M.DIV., PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Apr 22nd, 2019 - about 6 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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