Doctor Name: | MS. VIBHA DESAI-WEIMER |
NPI Number: | 1073870796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC/SLP |
License Number: | 41YS00273700 |
Business Practice Address: | 107 Whitlock Ct Manalapan, NJ - 077267937 |
Business Phone Number: | 7325981736 |
Business Fax Number: | |
Mailing Address: | 107 Whitlock Ct, MANALAPAN |
State: | NJ |
Postal Code: | 077267937 |
Phone Number: | 7325981736 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00273700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |