Provider Demographics
NPI:1053510453
Name:WEIDLER, CHRISTOPHER W (MA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:W
Last Name:WEIDLER
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 1:790 RANGE END RD
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-8701
Mailing Address - Country:US
Mailing Address - Phone:978-473-1676
Mailing Address - Fax:
Practice Address - Street 1:790 RANGE END RD
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-8701
Practice Address - Country:US
Practice Address - Phone:978-927-9410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC23668101YP2500X
MI6401224905101YP2500X
106H00000X
COLPC0021839101YP2500X
PAPC005616101YP2500X
VA0701014406101YP2500X
FLMH24930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health