Healthcare Provider Details

I. General information

NPI: 1679388540
Provider Name (Legal Business Name): WEBER PSYCHOLOGICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 ROUTE 100 STE 200
OREFIELD PA
18069-2951
US

IV. Provider business mailing address

2909 ROUTE 100 STE 200
OREFIELD PA
18069-2951
US

V. Phone/Fax

Practice location:
  • Phone: 484-340-6111
  • Fax: 484-860-3209
Mailing address:
  • Phone: 484-340-6111
  • Fax: 484-860-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEPHANIE WEBER-ATKINSON
Title or Position: OWNER
Credential: PSYD
Phone: 484-340-6111