Individual
DR. MICHAEL P. WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
97 TROUTWOOD DR, NEW HARTFORD, CT 06057-4132
(860) 738-8216
Mailing address
97 TROUTWOOD DR, NEW HARTFORD, CT 06057-4132
(860) 738-8216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001844
CT
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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