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Contact Information

KIMBERLY D WEAVER, PSY.D
207 FIRST STREET
JACKSON, MI49201
 Phone: 517-998-4673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLY D WEAVER · (Female)

NPI # 1598002610
Status Active
Credentials PSY.D
Entity Individual
Enumeration date 01/09/2013
Last updated 05/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301015342
  • MI License # 6801082847
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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