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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN S WEATHERLY, PH.D.

Active Sole Proprietor

Psychologist · GREENVILLE, TX

Registration Details

NPI Number
1164785556
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2012 (13.837734661998 yrs)
Last Updated
Jul 6, 2023
Licenses
37657 (TX)
37657 (TX)
Sole Proprietor
Yes

Practice Information

Address
5604 WESLEY ST STE 104
GREENVILLE, TX, 754026326
Browse TX providers · Browse ZIP 75402
Phone
9038837792
Fax
9034885303
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in GREENVILLE, TX

Name Credential NPI
KAREN HUNT BUTCHER PHD 1578512505
TRESSIE K ANIGBO MASP 1801042429
DR. ERICA RAE CRAWFORD PSYD 1164843645
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.