Ms. Susan Anne Weaver
Mental Health
12265 James St
Holland
, Michigan 49424-8613
Ms. Susan Anne Weaver
Mental Health
12265 James St
Holland
, Michigan 49424-8613
(616) 393-5687
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Ms. Susan Anne Weaver
- 12265 James St
- Holland, MI
- Zip : 49424-8613
- Fax : (616) 393-5687
- Phone : (616) 494-5461
Second Address
- Ms. Susan Anne Weaver
- 12265 James St
- Holland, MI
- Zip : 49424-8613
- Fax : (616) 393-5687
- Phone : (616) 494-5461
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 5201003205 | MI |
National Provider Identifier
| NPI | 1982921573 |
|---|---|
| Provider Name | Ms. Susan Anne Weaver |
| First Address | Holland, MI 49424-8613 |
| Second Address | Holland, MI 49424-8613 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2010 |
| Last Update Date | 22/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.