| Doctor Name: | CARRIE WECKMAN |
| NPI Number: | 1053632885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 335 Shaw Ave Mckeesport, PA - 151322918 |
| Business Phone Number: | 4126758533 |
| Business Fax Number: | 4126758920 |
| Mailing Address: | 335 Shaw Ave, MCKEESPORT |
| State: | PA |
| Postal Code: | 151322918 |
| Phone Number: | 4126758533 |
| Fax Number: | 4126758920 |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |