Doctor Name: | MRS. MINDY JARIE WEYMAN |
NPI Number: | 1053485029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 102517 |
Business Practice Address: | 3001 S Jackson St San Angelo, TX - 769045129 |
Business Phone Number: | 3252236300 |
Business Fax Number: | 3252236408 |
Mailing Address: | 4601 Hartford St, ABILENE |
State: | TX |
Postal Code: | 796054603 |
Phone Number: | 3257933400 |
Fax Number: | 3257933587 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |