Provider Demographics
NPI:1295774214
Name:WEATHERS, ALLISON L (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:L
Last Name:WEATHERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25900 SCIENCE PARK DR
Mailing Address - Street 2:AC220
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7318
Mailing Address - Country:US
Mailing Address - Phone:216-442-6511
Mailing Address - Fax:216-448-5085
Practice Address - Street 1:CLEVELAND CLINIC
Practice Address - Street 2:9500 EUCLID AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361156272084N0400X
OH35.1298572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID036115627OtherIL STATE LIC