Brent Matthew Weber

NPI #1114494069 in Benton Harbor, Michigan

Provider Information

NPI Number: 1114494069
Entity Type: Individual
Name: Brent Matthew Weber
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 1613 M 139
City: Benton Harbor
State: Michigan
ZIP Code: 49022-5748
Phone: (269) 925-9585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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