THEODORE J WEBER M DIV PSYD PA

ORMOND BEACH, FL
NPI1790925386
Entity TypeOrganization
Authorized ContactTHEODORE WEBER
Psyd
478-475-1299
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  py6429)
Enumeration Date2009-02-23
Last Update Date2009-02-23
Business Address
THEODORE J WEBER M DIV PSYD PA
348 CHELSEA PLACE AVE
ORMOND BEACH, FL 32174-0683
Phone number: 478-475-1299
Mailing Address
THEODORE J WEBER M DIV PSYD PA
PO BOX 28410
MACON, GA 31221-8410
Phone number: 478-475-1299
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