Individual
MS. MARTHA WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1460 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 853-0946
(816) 396-8809
Mailing address
8320 TWILIGHT LN, LENEXA, KS 66219-1565
(913) 706-4150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
1228
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1228
KANSAS SLP LICENSE
KS
Enumeration date
10/16/2017
Last updated
10/11/2019
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