MEDICARE: DR. DAVID T. WEIBEL & ASSOCIATES

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
1	103TC0700X	Clinical Psychologist	1137	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4P973	OTHER	LA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1649404096	OTHER	LA	NPI FOR DR. WEIBEL, THE ONLY PROVIDER IN DR. WEIBEL & ASSOCIATES

General Provider Information

NPI Number	:	1235476078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DAVID T. WEIBEL & ASSOCIATES

Provider Business Mailing Address
First Line	:	4300 N MILLER RD STE 241
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3639
Country	:	US
Telephone Number	:	215-779-5575
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 N MILLER RD STE 241
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3639
Country	:	US
Telephone Number	:	215-779-5575
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DAVID THOMAS WEIBEL
Credential	:	PH.D.
Telephone Number	:	215-779-5575

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	01/29/2026

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