Provider Demographics
NPI:1477639284
Name:WEBER, EVE G (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:G
Last Name:WEBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2712
Mailing Address - Country:US
Mailing Address - Phone:703-272-7664
Mailing Address - Fax:703-272-8071
Practice Address - Street 1:1479 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5730
Practice Address - Country:US
Practice Address - Phone:703-734-0787
Practice Address - Fax:703-734-2735
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003392103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical