Individual
DR. CAROL A WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
80 W WIEUCA RD NE, SUITE 100, ATLANTA, GA 30342-3205
(404) 257-0254
(404) 256-5707
Mailing address
80 W WIEUCA RD NE, SUITE 100, ATLANTA, GA 30342-3205
(404) 257-0254
(404) 256-5707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00437159A
—
GA
01
—
10055050
PSYCHOLOGIST, CHILD
GA
Enumeration date
05/08/2007
Last updated
07/09/2007
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