Individual
DR. THEODORE JOSEPH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV., PSY.D.
Contact information
Practice address
348 CHELSEA PLACE AVE, ORMOND BEACH, FL 32174-0683
(386) 795-7673
(386) 677-2107
Mailing address
348 CHELSEA PLACE AVE, ORMOND BEACH, FL 32174-0683
(386) 795-7673
(386) 677-2107
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6429
FL
103TC0700X
Clinical Psychologist
PY6429
FL
Other
Enumeration date
06/28/2006
Last updated
04/22/2019
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