Doctor Name: | DAVID ENGLAND WEAVER |
NPI Number: | 1033250022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 950 N York Rd Suite 107 Hinsdale, IL - 605212950 |
Business Phone Number: | 6309865403 |
Business Fax Number: | 6309860815 |
Mailing Address: | 950 N York Rd, Suite 107 HINSDALE |
State: | IL |
Postal Code: | 605212950 |
Phone Number: | 6309865403 |
Fax Number: | 6309860815 |
NPI Enumeration Date: | 02/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |