Individual
MICHAEL GEORGE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
2001 DWIGHT WAY, 5 NORTH, BERKELEY, CA 94704-2608
(510) 204-5330
(510) 204-4655
Mailing address
2001 DWIGHT WAY, 5 NORTH, BERKELEY, CA 94704-2608
(510) 204-5330
(510) 204-4655
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 13955
CA
103T00000X
Psychologist
PSY 13955
CA
103TR0400X
Rehabilitation Psychologist
PSY 13955
CA
Other
Enumeration date
02/22/2007
Last updated
07/10/2007
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