Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore J Weber M Div PSYD PA

Organization Clinical Psychologist · NPI 1790925386

Theodore J Weber M Div PSYD PA is a Clinical Psychologist in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

348 Chelsea Place Ave
Ormond Beach, FL 32174-0683
Phone: (478) 475-1299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY6429 (FL)

Record details

NPI number1790925386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Weber — Psyd · (478) 475-1299
NPI enumeratedFebruary 23, 2009
Last updated in NPPESFebruary 23, 2009
Mailing addressPo Box 28410, Macon, GA 31221-8410

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