Mary Weatherston, PHD

NPI #1366417412 in Birmingham, Michigan

Provider Information

NPI Number: 1366417412
Entity Type: Individual
Name: Mary Weatherston, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Feb 22, 2006
Last Updated: Jun 14, 2010

Practice Location

Address: 725 S ADAMS RD
Address 2: STE 244
City: Birmingham
State: Michigan
ZIP Code: 48009-6902
Phone: (248) 642-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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