Individual
PAULA J WEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1518 8TH AVE S, FARGO, ND 58103-2534
(701) 388-4109
Mailing address
1518 8TH AVE S, FARGO, ND 58103-2534
(701) 388-4109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
756
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51713
—
ND
01
—
A03251043776
PREFERRED ONE
ND
01
—
WEI 23283
BLUECROSS BLUESHIELD ND
ND
Enumeration date
10/31/2006
Last updated
07/09/2007
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