Individual
COLLEEN MEGAN WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
304 N ACACIA AVE, RIPON, CA 95366-2404
(209) 599-2131
Mailing address
720 MONTANA ST, RIPON, CA 95366-2123
(209) 404-0208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13243
CA
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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