| Doctor Name: | VIRGINIA VICTORIA WEICHERT |
| NPI Number: | 1144510470 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | TLLP |
| License Number: | 6301014708 |
| Business Practice Address: | 37300 Millstone Trl Lenox, MI - 480483131 |
| Business Phone Number: | 5868174263 |
| Business Fax Number: | |
| Mailing Address: | 37300 Millstone Trl, LENOX |
| State: | MI |
| Postal Code: | 480483131 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2011 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301014708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |