Kevin Weaver is a Clinical in Phoenix, Arizona. Kevin Weaver practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Weaver is 1174657134. The last update date is 2009-08-27.
Kevin Weaver's current location address is 1001 E Griswold Rd Unit 20, Phoenix, Arizona. You can contact this provider via phone number 6029977897 and fax number 6029977894. The mailing address for Kevin Weaver is 1001 E Griswold Rd Unit 20, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Weaver |
|---|---|
| Address | 1001 E Griswold Rd Unit 20, Phoenix, Arizona |
| Phone Number | 6029977897 |
| Fax Number | 6029977894 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1174657134 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2009-08-27 |
Provider Mailing Address Detail
| Address | 1001 E Griswold Rd Unit 20 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850203777 |
| Phone Number | 6029977897 |
| Fax Number | 6029977894 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1215 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Kevin Weaver by the Centers for Medicare & Medicaid Services?
The Kevin Weaver has been assigned the NPI (National Provider Identifier) 1174657134 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kevin Weaver?
The Kevin Weaver is situated at 1001 E Griswold Rd Unit 20, in the city of Phoenix, state of AZ, with the zip code 850203777.
What is Kevin Weaver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Weaver's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Kevin Weaver receive its 1174657134 assignment?
The Kevin Weaver was assigned its 1174657134 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kevin Weaver, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Weaver, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-27.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV