Individual
DR. DAVID CHRISTOPHER WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
Mailing address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71007196
IL
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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