Provider Demographics
NPI:1871769182
Name:WEBER, MEREDITH E (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:E
Last Name:WEBER
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:DR
Other - First Name:MERI
Other - Middle Name:E
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, NCSP
Mailing Address - Street 1:42 E LAUREL RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1354
Mailing Address - Country:US
Mailing Address - Phone:856-566-6314
Mailing Address - Fax:856-566-6108
Practice Address - Street 1:42 E LAUREL RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1354
Practice Address - Country:US
Practice Address - Phone:856-566-6314
Practice Address - Fax:856-566-6108
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool