Individual
KELLY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
709 GOODRICH CT, PLATTEVILLE, CO 80651-7586
(214) 995-3432
Mailing address
709 GOODRICH CT, PLATTEVILLE, CO 80651-7586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12129156
—
Other
Enumeration date
06/20/2011
Last updated
05/10/2019
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