Individual
DR. RICHARD A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2507
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
110491-2501
UT
Other
Enumeration date
06/08/2006
Last updated
08/28/2012
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