| Doctor Name: | MRS. ANN EDITH WEATHERLY |
| NPI Number: | 1023174315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP, MA, CCC |
| License Number: | 51 |
| Business Practice Address: | 7020 S Yale Ave Ste 264 Tulsa, OK - 741365744 |
| Business Phone Number: | 9184937048 |
| Business Fax Number: | 9184937049 |
| Mailing Address: | 9014 S Gary Ave, TULSA |
| State: | OK |
| Postal Code: | 741373313 |
| Phone Number: | 9182990789 |
| Fax Number: | 9182992712 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 51 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |