Provider Demographics
NPI:1861609505
Name:WEBER AND DEVERS PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:WEBER AND DEVERS PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DEVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:906-635-7270
Mailing Address - Street 1:605 E 7TH AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-3111
Mailing Address - Country:US
Mailing Address - Phone:906-635-7270
Mailing Address - Fax:906-635-7688
Practice Address - Street 1:605 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783
Practice Address - Country:US
Practice Address - Phone:906-635-7270
Practice Address - Fax:906-635-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011252103T00000X
MI68010737651041C0700X
MI68010206911041C0700X
MI68010821751041C0700X
MI68010793261041C0700X
MI6803064866101YA0400X
MI6401002664101YP2500X
MI6301010982103T00000X
MI6301009814103T00000X
MI4101006291106H00000X
MI6301008585103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty