Doctor Name: | JUDITH G. WEAVER |
NPI Number: | 1013984301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701001562 |
Business Practice Address: | 320 S Main St Harrisonburg, VA - 228013630 |
Business Phone Number: | 5404331291 |
Business Fax Number: | 5407433788 |
Mailing Address: | 659 White Oak Cir, HARRISONBURG |
State: | VA |
Postal Code: | 228018788 |
Phone Number: | 5404331291 |
Fax Number: | 5407433788 |
NPI Enumeration Date: | 03/05/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701001562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |