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NPI Code Detail

MEDICARE: NATALIE WEBER MA,LLP

MEDICARE:   NATALIE  WEBER  MA,LLP
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
1103T00000XPsychologist6301007893MI

General Provider Information

NPI Number : 1942403449
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE WEBER MA,LLP
Provider Business Mailing Address
First Line : 4928 HIAWATHA DR
Second Line :
City : CHEBOYGAN
State : MI
Zip : 49721-9139
Country : US
Telephone Number : 231-625-8301
Fax Number :
Provider Business Practice Location Address
First Line : 1 MACDONALD DR STE B
Second Line :
City : PETOSKEY
State : MI
Zip : 49770-4406
Country : US
Telephone Number : 231-347-6701
Fax Number : 231-347-4370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 07/08/2007

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Directions to “ NATALIE WEBER MA,LLP” Practice Location

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