| Doctor Name: | DR. KATRIN TODD WEIR |
| NPI Number: | 1154451177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6803 |
| Business Practice Address: | 529 Main St Suite #1 Indian Orchard, MA - 011511228 |
| Business Phone Number: | 4135435865 |
| Business Fax Number: | 4135432202 |
| Mailing Address: | 4 Hitching Post Ln, WILBRAHAM |
| State: | MA |
| Postal Code: | 010951712 |
| Phone Number: | 4135991701 |
| Fax Number: | 4135432202 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 6803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |