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Individual

DR. RANDY L WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
36 SOUTHGATE CT, SUITE 102, HARRISONBURG, VA 22801-9668
(540) 568-1876
(540) 574-6076
Mailing address
21 SOUTHGATE CT, # 101, HARRISONBURG, VA 22801-9663
(540) 568-1876
(540) 574-6076

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001674
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
541672409
TAX ID
VA
05
7700482
VA
Enumeration date
09/20/2006
Last updated
03/30/2017
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