| Doctor Name: | GREGORY WEBER |
| NPI Number: | 1083840151 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 001110 |
| Business Practice Address: | 200 Mercy Dr Dubuque, IA - 520017303 |
| Business Phone Number: | 5635820145 |
| Business Fax Number: | |
| Mailing Address: | 2005 Asbury Rd, DUBUQUE |
| State: | IA |
| Postal Code: | 520013042 |
| Phone Number: | 5635837357 |
| Fax Number: | 8882433455 |
| NPI Enumeration Date: | 06/03/2009 |
| NPI Last Update Date: | 06/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 001110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |