Individual
MRS. BRENNA ELISE WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
605 STATE ROUTE 369, PORT CRANE, NY 13833-1410
(607) 427-9811
Mailing address
605 STATE ROUTE 369, PORT CRANE, NY 13833-1410
(607) 427-9811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013447-01
NY
Other
Enumeration date
10/03/2006
Last updated
06/16/2009
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