Individual
MARY JUDITH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
1716 GREY FRIARS CHASE, VIRGINIA BEACH, VA 23456-5435
(757) 648-3640
Mailing address
3829 LASALLE DR APT 105, VIRGINIA BEACH, VA 23453-4755
(814) 657-5151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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