Individual
MISS KAYCIE NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
999 W HARRISBURG PIKE, MIDDLETOWN, PA 17057-4801
(717) 944-3351
Mailing address
38 HAWTHORNE CIR, WILLOW STREET, PA 17584-9742
(724) 771-4246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012987
PA
Other
Enumeration date
12/19/2018
Last updated
02/16/2022
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