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Individual

MS. CRYSTAL L WEIPPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP/L

Contact information

Practice address
2258 N LAKEWAY CIR, WICHITA, KS 67205-1082
(316) 945-7117
Mailing address
2258 N LAKEWAY CIR, WICHITA, KS 67205-1082
(316) 945-7117

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3632
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100019530A
KS
Enumeration date
12/08/2014
Last updated
12/08/2014
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