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NPI Code Detail

MEDICARE: BERNADETTE NOLAN WEACHTER

MEDICARE: BERNADETTE NOLAN WEACHTER
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
1106S00000XBehavior TechnicianPA

General Provider Information

NPI Number : 1063365518
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE NOLAN WEACHTER
Provider Business Mailing Address
First Line : 151 S HIGHLAND RD
Second Line :
City : SPRINGFIELD
State : PA
Zip : 19064-2213
Country : US
Telephone Number : 610-909-3187
Fax Number :
Provider Business Practice Location Address
First Line : 110 CHURCH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2201
Country : US
Telephone Number : 267-807-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ BERNADETTE NOLAN WEACHTER ” Practice Location

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