Provider Demographics
NPI:1356674477
Name:WEVER, DAVID HAROLD (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HAROLD
Last Name:WEVER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4995 GOLDEN FOOTHILL PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9645
Mailing Address - Country:US
Mailing Address - Phone:916-934-9970
Mailing Address - Fax:
Practice Address - Street 1:4995 GOLDEN FOOTHILL PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9645
Practice Address - Country:US
Practice Address - Phone:916-934-9970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39900106H00000X
NC7370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist