Provider Demographics
NPI:1972759066
Name:WEIR, DARIA L (MA)
Entity type:Individual
Prefix:MRS
First Name:DARIA
Middle Name:L
Last Name:WEIR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 S DODGE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:86322-6857
Mailing Address - Country:US
Mailing Address - Phone:928-567-8019
Mailing Address - Fax:928-567-8022
Practice Address - Street 1:370 CAMP LINCOLN RD
Practice Address - Street 2:
Practice Address - City:CAMP VERDE
Practice Address - State:AZ
Practice Address - Zip Code:86322-7493
Practice Address - Country:US
Practice Address - Phone:928-567-8019
Practice Address - Fax:928-567-8022
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool