Doctor Name: | LINDSEY WEITL |
NPI Number: | 1700213527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2013025906 |
Business Practice Address: | 3260 Baisch Dr De Soto, MO - 630205046 |
Business Phone Number: | 6365862291 |
Business Fax Number: | |
Mailing Address: | 5078 State Road Y, DE SOTO |
State: | MO |
Postal Code: | 630203325 |
Phone Number: | 6362088326 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2013 |
NPI Last Update Date: | 10/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2013025906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |