Individual
MISS MARY E WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(724) 272-6808
Mailing address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(724) 272-6808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL009914
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP-1456
WV
Other
Enumeration date
06/30/2011
Last updated
09/21/2016
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