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Individual
MR. WALTER WESLEY WEIDENHAMER I
Active
Individual
MR. WALTER WESLEY WEIDENHAMER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW013823
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078145020002
—
PA
01
—
052548000
MAGELLAN HEALTH SERVICES
PA
01
—
0856950
AETNA BEHAVIORAL HEALTH
PA
01
—
286645
VALUEBEHAVIORALHEALTHOFPA
PA
01
—
706894
HIGHMARK BC/BS INS. CO.
PA
Enumeration date
10/12/2006
Last updated
03/12/2024
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