MEDICARE: MRS. HEIDI DEBORAH WEIPERT MA, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401007895	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073594982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEIDI DEBORAH WEIPERT MA, LPC, NCC

Provider Business Mailing Address
First Line	:	1633 PECK ST
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-2530
Country	:	US
Telephone Number	:	231-722-7770
Fax Number	:	231-722-7677

Provider Business Practice Location Address
First Line	:	1633 PECK ST
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-2530
Country	:	US
Telephone Number	:	231-722-7770
Fax Number	:	231-722-7677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/09/2007

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