Provider Demographics
NPI:1811256761
Name:ZWEBER, WILLIAM (MA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ZWEBER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 MARSCHALL ROAD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-2666
Mailing Address - Country:US
Mailing Address - Phone:651-769-6500
Mailing Address - Fax:
Practice Address - Street 1:327 MARSCHALL RD STE 250
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-2666
Practice Address - Country:US
Practice Address - Phone:651-769-6500
Practice Address - Fax:651-769-6500
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-13
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist