Doctor Name: | MRS. SUSAN WEEGAR |
NPI Number: | 1396113619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ED SLP |
License Number: | 5056 |
Business Practice Address: | 845 Paddock Ave Meriden, CT - 064507021 |
Business Phone Number: | 2032382645 |
Business Fax Number: | |
Mailing Address: | 16a Country Squire Dr, CROMWELL |
State: | CT |
Postal Code: | 064164510 |
Phone Number: | 8603873727 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |