Individual
MADDISON WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 DOCTORS DR, FARMINGTON, MO 63640-2947
(573) 218-9337
(636) 464-5438
Mailing address
3488 JEFFCO BLVD STE 102, ARNOLD, MO 63010-6015
(636) 464-5439
(636) 464-5438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021020636
MO
235Z00000X
Speech-Language Pathologist
SL016473
PA
Other
Enumeration date
09/21/2021
Last updated
06/02/2026
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