Weaver Counseling and Assessment Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WEAVER COUNSELING AND ASSESSMENT SERVICES, LLC

Practice address

4450 Belden Village St NW Ste 604
Canton, OH 44718-3672

Phone

(330) 492-8383

NPI assigned

Sep 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Isaac Weaver

Title

Psychologist/Owner

Phone

(740) 334-0802

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1568012011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW STE 604",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW STE 604",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183672",
            "telephone_number": "330-492-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER COUNSELING AND ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "740-334-0802"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Weaver, MPH

• Clinical Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.