| Doctor Name: | DANA MARIE WEACHTER |
| NPI Number: | 1063816387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC004565 |
| Business Practice Address: | 426 Pennsylvania Ave Suite 101 Fort Washington, PA - 190343410 |
| Business Phone Number: | 2158686988 |
| Business Fax Number: | |
| Mailing Address: | 77 Loggers Mill Rd, HORSHAM |
| State: | PA |
| Postal Code: | 190441924 |
| Phone Number: | 2158686988 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC004565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |