Doctor Name: | AMBER E. WEAVER |
NPI Number: | 1205153434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 114872 |
Business Practice Address: | 230 Route 149 Marstons Mills, MA - 026481834 |
Business Phone Number: | 5084283698 |
Business Fax Number: | |
Mailing Address: | Po Box 771, BARNSTABLE |
State: | MA |
Postal Code: | 026300771 |
Phone Number: | 7743200057 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 114872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |