Organization Name: | WEBER THERAPY ASSOCIATES, INC. |
NPI Number: | 1992875843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY BETH WEBER (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 302 Durden St Vidalia |
State: | GA US |
Postal Code: | 304744606 |
Phone Number: | 9125376130 |
Fax Number: | 9125376130 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |