BENJAMIN KENNETH WEAVER
NPI 1720618937
Counselor - Professional in Canton, OH
Active since January 16, 2020
About Benjamin Kenneth Weaver NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN KENNETH WEAVER (NPI 1720618937) is an individual professional provider in Canton, Ohio, licensed in Ohio (C.2304963) and active in the NPI registry since January 2020. He maintains a secondary practice location in Toledo.
NPPES Registry Identity
NPI1720618937
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBENJAMIN KENNETH WEAVER
Location Address4522 FULTON DR NWCanton, OH 44718-2332
Mailing Address4200 Munson St Nw Ste ACanton, OH 44718-2981 · (330) 915-2907
Phone(330) 915-2907
Sole ProprietorYes
Enumeration DateJanuary 16, 2020
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1720618937 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2304963
4522 FULTON DR NW, Canton, OH 44718
Secondary Practice Location 1
Location 16629 W Central AveToledo, OH 43617-1098 · Phone (419) 930-7782
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720618937, enumerated as an "individual" on January 16, 2020.
The provider is located at 4522 FULTON DR NW CANTON, OH 44718 and the phone number is (330) 915-2907.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
