Individual
DR. TONYA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5104 N ORANGE BLOSSOM TRL STE 116, ORLANDO, FL 32810-1013
(800) 361-1605
Mailing address
410 E WINDHORST RD, BRANDON, FL 33510-2530
(321) 331-1247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH16639
FL
103TS0200X
School Psychologist
Primary
SS1267
FL
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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