# KRISTIN WEAVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033583059
- **Gender:** F
- **Credential:** M.A. CCC/SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP.10486 | OH | Yes |

## Other

- **Enumeration date:** 11/16/2015
- **Last updated:** 10/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12158865 | ASHA CERTIFICATE OF CLINICAL COMPETENCE | OH |
| 01 | — | OH3133791 | OHIO DEPARTMENT OF EDUCATION | OH |
| 01 | — | SP.10486 | OHIO BOARD OF SPEECH-LANGUAGE PATHOLOGY | OH |