| Doctor Name: | DR. DAVID RICHARD WEISKOTTEN |
| NPI Number: | 1437246758 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PC002686 |
| Business Practice Address: | 541 Roberts Rd Nazareth, PA - 18064 |
| Business Phone Number: | 6107469588 |
| Business Fax Number: | 6107469588 |
| Mailing Address: | 541 Roberts Rd, NAZARETH |
| State: | PA |
| Postal Code: | 18064 |
| Phone Number: | 6107463579 |
| Fax Number: | 6107469588 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |