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NPI Code Detail

MEDICARE: MACEY COLLEEN WECKER MS CCC-SLP

MEDICARE: MACEY COLLEEN WECKER MS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP.LL.70090603WA

General Provider Information

NPI Number : 1023804077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACEY COLLEEN WECKER MS CCC-SLP
Provider Business Mailing Address
First Line : 29213 107 PR NW
Second Line :
City : BENTON CITY
State : WA
Zip : 99320-4904
Country : US
Telephone Number : 360-589-4024
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W 4TH AVE
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-5533
Country : US
Telephone Number : 509-222-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2025
Last Update Date : 02/03/2026

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Directions to “ MACEY COLLEEN WECKER MS CCC-SLP” Practice Location

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