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Individual

MIRIAM T WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 273-3507
(585) 242-9164
Mailing address
1351 MOUNT HOPE AVE, SUITE 116, ROCHESTER, NY 14620-3917
(585) 273-3507
(585) 242-9164

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
016859
NY
103G00000X
Clinical Neuropsychologist
16859
NY
103TC0700X
Clinical Psychologist
016859
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02818413
NY
Enumeration date
09/30/2006
Last updated
07/05/2023
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