Provider Demographics
NPI:1609991793
Name:HENRY N WEBER PHD AND JUDY W WEBER PHD PLLC
Entity Type:Organization
Organization Name:HENRY N WEBER PHD AND JUDY W WEBER PHD PLLC
Other - Org Name:WEBER & WEBER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-694-3503
Mailing Address - Street 1:2300 E MILL PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4332
Mailing Address - Country:US
Mailing Address - Phone:360-694-3503
Mailing Address - Fax:360-694-1464
Practice Address - Street 1:2300 E MILL PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-4332
Practice Address - Country:US
Practice Address - Phone:360-694-3503
Practice Address - Fax:360-694-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty