Individual
KRISTIN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
Mailing address
640 W MARKET ST, AKRON, OH 44303-1413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10486
OH
Other
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
Enumeration date
11/16/2015
Last updated
10/11/2023
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