Healthcare Provider Details

I. General information

NPI: 1235476078
Provider Name (Legal Business Name): DR. DAVID T. WEIBEL & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 N MILLER RD STE 241
SCOTTSDALE AZ
85251-3639
US

IV. Provider business mailing address

4300 N MILLER RD STE 241
SCOTTSDALE AZ
85251-3639
US

V. Phone/Fax

Practice location:
  • Phone: 215-779-5575
  • Fax:
Mailing address:
  • Phone: 215-779-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1137
License Number StateLA

VIII. Authorized Official

Name: DR. DAVID THOMAS WEIBEL
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 215-779-5575