Healthcare Provider Details

I. General information

NPI: 1760507412
Provider Name (Legal Business Name): HENRY NEIL WEBER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HENRY N. WEBER PH.D.

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 E MILL PLAIN BLVD
VANCOUVER WA
98661-4332
US

IV. Provider business mailing address

2300 E MILL PLAIN BLVD
VANCOUVER WA
98661-4332
US

V. Phone/Fax

Practice location:
  • Phone: 360-694-3503
  • Fax: 360-694-1464
Mailing address:
  • Phone: 360-694-3503
  • Fax: 360-694-1464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY00000424
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY00000424
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPY00000424
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: