| Doctor Name: | MR. RICHARD CRAIG WEIGEL |
| NPI Number: | 1689769226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 34000261A |
| Business Practice Address: | 318 Pine Lake Avenue Laporte, IN - 46350 |
| Business Phone Number: | 2193246263 |
| Business Fax Number: | 2193266027 |
| Mailing Address: | Po Box 1563, LAPORTE |
| State: | IN |
| Postal Code: | 46352 |
| Phone Number: | 2193246263 |
| Fax Number: | 2193266027 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34000261A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |