Doctor Name: | MRS. THERESA JOAN WEIGEL |
NPI Number: | 1407948896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC3576 |
Business Practice Address: | 6 Mines Road Suite I Blue Hill, ME - 04614 |
Business Phone Number: | 2073745780 |
Business Fax Number: | 2073745780 |
Mailing Address: | P.o. 1161, BLUE HILL |
State: | ME |
Postal Code: | 04614 |
Phone Number: | 2073745780 |
Fax Number: | 2073745780 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 06/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC3576 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |