Individual
MISS SHERYL WEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CFY, SLP
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(574) 265-9350
Mailing address
9909 E 100 S, GREENTOWN, IN 46936-9163
(574) 265-9350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002040A
IN
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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