Healthcare Provider Details

I. General information

NPI: 1922933811
Provider Name (Legal Business Name): MR. ROBERT JOSEPH WEBER III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 CORPORATE DR E
LANGHORNE PA
19047-8007
US

IV. Provider business mailing address

20 QUAIL RD
LEVITTOWN PA
19057-2007
US

V. Phone/Fax

Practice location:
  • Phone: 908-271-8496
  • Fax:
Mailing address:
  • Phone: 267-446-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: