| Doctor Name: | DR. PHILIP LYNN WEBER |
| NPI Number: | 1003925884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PS005914_L |
| Business Practice Address: | 234 S Bryn Mawr Ave Suite 202 Bryn Mawr, PA - 190102133 |
| Business Phone Number: | 6105250390 |
| Business Fax Number: | 6105254552 |
| Mailing Address: | 106 Victoria Ct, MALVERN |
| State: | PA |
| Postal Code: | 193558503 |
| Phone Number: | 6105780974 |
| Fax Number: | 6105254552 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS005914_L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |