Individual
BARBARA LEE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1900 E. LA PALMA, STE.#101, ANAHEIM, CA 92805
(714) 399-3480
(714) 399-3481
Mailing address
1040 SUNGOLD CT, TUSTIN, CA 92780-1607
(949) 705-8912
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT20377
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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