| Dr. David T. Weibel & Associates, Llc | |
|
14 S Bryn Mawr Ave Ste 203 Bryn Mawr PA 19010-3216 | |
| (215) 779-5575 | |
| (215) 220-2686 |
| Full Name | Dr. David T. Weibel & Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14 S Bryn Mawr Ave Ste 203, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | David Thomas Weibel (PRESIDENT) |
| Authorized Official Contact | 2157795575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David T. Weibel & Associates, Llc 14 S Bryn Mawr Ave Ste 203 Bryn Mawr PA 19010-3216 Ph: (215) 779-5575 | Dr. David T. Weibel & Associates, Llc 14 S Bryn Mawr Ave Ste 203 Bryn Mawr PA 19010-3216 Ph: (215) 779-5575 |
| NPI Number | 1235476078 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 09/19/2022 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 0042464836 |
|---|---|
| Medicare Enrollment ID | O20201002000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235476078 | NPI | - | NPPES |
| 1649404096 | Other | LA | NPI FOR DR. WEIBEL, THE ONLY PROVIDER IN DR. WEIBEL & ASSOCIATES |
| 4P973 | Other | LA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1137 (Louisiana) | Primary |
| Provider Name | David Thomas Weibel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649404096 PECOS PAC ID: 8224177654 Enrollment ID: I20201002000361 |
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