| Doctor Name: | SHANNON L WEISS |
| NPI Number: | 1588739791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | SLP4037 |
| Business Practice Address: | 601 N Key Biscayne Dr Gilbert, AZ - 852348114 |
| Business Phone Number: | 4804979343 |
| Business Fax Number: | 4804979574 |
| Mailing Address: | 1558 S Roadrunner Dr, HIGLEY |
| State: | AZ |
| Postal Code: | 852365367 |
| Phone Number: | 4809635073 |
| Fax Number: | 8667089879 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP4037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |