MEDICARE: MRS. BRENNA ELISE WEIR MA, 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
1	235Z00000X	Speech-Language Pathologist	013447-01	NY

General Provider Information

NPI Number	:	1316032808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRENNA ELISE WEIR MA, CCC-SLP

Provider Business Mailing Address
First Line	:	605 STATE ROUTE 369
Second Line	:
City	:	PORT CRANE
State	:	NY
Zip	:	13833-1410
Country	:	US
Telephone Number	:	607-427-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 STATE ROUTE 369
Second Line	:
City	:	PORT CRANE
State	:	NY
Zip	:	13833-1410
Country	:	US
Telephone Number	:	607-427-9811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/16/2009

Similar Medicare Providers

1689832909 — MRS. SUSAN MARIE RIEBER LPN
Practice Location Address:

195 BALLYHACK RD
PORT CRANE, NY
13833-1535

Practice Phone: 607-648-3088
Practice Fax:

1982857355 — MRS. HEATHER JOY BURNETT OTR/L
Practice Location Address:

115 DUMAS HILL RD
PORT CRANE, NY
13833

Practice Phone: 607-427-4637
Practice Fax:

1447480421 — RENA M FIGURES CPM
Practice Location Address:

780 STATE ROUTE 369 LOT 58
PORT CRANE, NY
13833-1041

Practice Phone: 607-644-5572
Practice Fax:

1225368616 — DR. JEROME ALAN REID M.D.
Practice Location Address:

445 MONKEY RUN RD
PORT CRANE, NY
13833-1130

Practice Phone: 607-648-2299
Practice Fax: 607-648-2299

1174855068 — MS. PATRICIA L. CASEY LPN
Practice Location Address:

780 STATE ROUTE 369 , LOT NO. 40
PORT CRANE, NY
13833-1041

Practice Phone: 607-772-8080
Practice Fax:

1215246111 — MICHELLE A SLABICKI
Practice Location Address:

652 STATE ROUTE 369
PORT CRANE, NY
13833-1409

Practice Phone: 607-240-1718
Practice Fax:

Directions to “ MRS. BRENNA ELISE WEIR MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.