What is Dexter Weaver's NPI number?

The NPI number assigned to this healthcare provider is 1396979241, enumerated as a individual on May 6, 2009.

Where is the provider located?

The provider is located at 6815 W CAPITOL DR SUITE 208 MILWAUKEE, WI 53216 and the phone number is (414) 466-3204.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

MR. DEXTER JAVAIR WEAVER MS - NPI 1396979241

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About Mr. Dexter Javair Weaver Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEXTER JAVAIR WEAVER MS (NPI 1396979241) is an individual counselor in Milwaukee, Wisconsin, licensed in Wisconsin (WI60000593097) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1396979241

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. DEXTER JAVAIR WEAVERCredential: MS

Location Address6815 W CAPITOL DR, SUITE 208Milwaukee, WI 53216-2070

Mailing Address6815 W Capitol Dr, Suite 208Milwaukee, WI 53216-2070 · (414) 466-3204 · Fax (414) 466-3206

Phone(414) 466-3204

Fax(414) 466-3206

Sole ProprietorYes

Enumeration DateMay 6, 2009

✔ NPI 1396979241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WI · WI60000593097

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6815 W CAPITOL DR, Milwaukee, WI 53216

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