| Doctor Name: | MRS. SHEENAH MARIE WEBER |
| NPI Number: | 1184742546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 1693 |
| Business Practice Address: | 23 East Ross Creoks Behavioral Services Sapulpa, OK - 74066 |
| Business Phone Number: | 9182272016 |
| Business Fax Number: | 9182271125 |
| Mailing Address: | 4808 Rustic Road, SAND SPRINGS |
| State: | OK |
| Postal Code: | 74063 |
| Phone Number: | 9182376754 |
| Fax Number: | 9184915740 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 12/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |