Individual
MS. JENNIFER MICHELLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-SLP
Contact information
Practice address
2607 W 11TH ST, REAR, CLEVELAND, OH 44113-4404
(513) 515-7436
Mailing address
2607 W 11TH ST, REAR, CLEVELAND, OH 44113-4404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12128099
—
235Z00000X
Speech-Language Pathologist
9413
NC
235Z00000X
Speech-Language Pathologist
SP.9495
OH
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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