Individual
REGAN EVERISS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5533 MAHONING AVE FL 2, AUSTINTOWN, OH 44515-2366
(330) 480-3533
(330) 480-3535
Mailing address
5533 MAHONING AVE FL 2, AUSTINTOWN, OH 44515-2366
(330) 480-3533
(330) 480-3535
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
02205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363350
—
OH
Enumeration date
07/26/2019
Last updated
01/07/2022
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