Organization
KELLY M. WEAVER, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M. WEAVER PH.D. (PRESIDENT)
(614) 459-2156
Entity
Organization
Contact information
Practice address
3011 BETHEL RD, SUITE 100, COLUMBUS, OH 43220-6104
(614) 459-2156
(614) 451-1381
Mailing address
3011 BETHEL RD, SUITE 100, COLUMBUS, OH 43220-6104
(614) 459-2156
(614) 451-1381
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5796
OH
Other
Enumeration date
10/03/2006
Last updated
06/09/2008
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