| Doctor Name: | DR. MARY THERESE WEBER |
| NPI Number: | 1023025970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC, PHD |
| License Number: | 655931 |
| Business Practice Address: | 8801 Lipan St Thornton, CO - 802604912 |
| Business Phone Number: | 3037209085 |
| Business Fax Number: | 3036573227 |
| Mailing Address: | 13120 East 19th Ave, Mail Stop C288-18, University Of Colorado College Of Nursing AURORA |
| State: | CO |
| Postal Code: | 80045 |
| Phone Number: | 3037242949 |
| Fax Number: | 3037248560 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 655931 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |