Provider Demographics
NPI:1992959183
Name:WEAVER, MEREDITH ALISON (CGC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ALISON
Last Name:WEAVER
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 WYOMING AVE NW
Mailing Address - Street 2:APT 41
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1880
Mailing Address - Country:US
Mailing Address - Phone:443-928-9671
Mailing Address - Fax:
Practice Address - Street 1:737 W LOMBARD ST
Practice Address - Street 2:ROOM 198
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1009
Practice Address - Country:US
Practice Address - Phone:443-928-9671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS