Individual
MS. ROBIN SUE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5000
Mailing address
1601 S JEFFERSON PL, KENNEWICK, WA 99338-2184
(971) 217-3127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61185753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14309566
ASHA
—
01
—
61185753
DEPARTMENT OF HEALTH
WA
Enumeration date
07/02/2021
Last updated
05/11/2022
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