Individual
MR. MICHAEL KEAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3304 SW 34TH CIRCLE, SUITE 202, OCALA, FL 34474-7479
(352) 861-4481
(352) 237-8363
Mailing address
3304 SW 34TH CIRCLE, SUITE 202, OCALA, FL 34474-7479
(352) 861-4481
(352) 237-8363
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
MH2631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z6331
BCBS OF FL
—
Enumeration date
07/03/2008
Last updated
07/03/2008
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