Provider Demographics
NPI:1851664619
Name:WEBER, DEBORAH CHRISTOPHER (LCPC, MA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CHRISTOPHER
Last Name:WEBER
Suffix:
Gender:F
Credentials:LCPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SUNBURST HWY
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2045
Mailing Address - Country:US
Mailing Address - Phone:410-901-7733
Mailing Address - Fax:
Practice Address - Street 1:205 SUNBURST HWY
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2045
Practice Address - Country:US
Practice Address - Phone:410-901-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional