David Christophe Weidner in Peoria - Clinical
David Christophe Weidner - NPI 1861699472
David Christophe Weidner is a Clinical in Peoria, Illinois. David Christophe Weidner practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Christophe Weidner is 1861699472. The last update date is 2007-07-08.
David Christophe Weidner's current location address is 3716 W Brighton Ave, Peoria, Illinois. You can contact this provider via phone number 3096927755. The mailing address for David Christophe Weidner is 3716 W Brighton Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Christophe Weidner |
|---|---|
| Address | 3716 W Brighton Ave, Peoria, Illinois |
| Phone Number | 3096927755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY. D. |
NPI Number Detail
| NPI Number | 1861699472 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3716 W Brighton Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152938 |
| Phone Number | 3096927755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71007196 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to David Christophe Weidner?
The David Christophe Weidner has been issued the NPI (National Provider Identifier) 1861699472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where David Christophe Weidner is physically located?
The David Christophe Weidner is physically situated at the following address: 3716 W Brighton Ave, Peoria, IL, 616152938.
What is the David Christophe Weidner's area of specialization and corresponding taxonomy classification?
The David Christophe Weidner's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the David Christophe Weidner receive its 1861699472 assignment from the Centers for Medicare & Medicaid Services?
The David Christophe Weidner was assigned its 1861699472 by the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the details pertaining to David Christophe Weidner last refreshed?
The information related to the David Christophe Weidner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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