Individual
ANDREA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 495-5227
Mailing address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 495-5227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6294244-4102
UT
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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