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NPI Code Detail

MEDICARE: ERIN WEATHERS MA, CF-SLP

MEDICARE: ERIN WEATHERS MA, CF-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 Pathologist

General Provider Information

NPI Number : 1396371159
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN WEATHERS MA, CF-SLP
Provider Business Mailing Address
First Line : 70 COUNTY ROAD B2 W
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55117-1402
Country : US
Telephone Number : 651-415-5458
Fax Number :
Provider Business Practice Location Address
First Line : 70 COUNTY ROAD B2 W
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55117-1402
Country : US
Telephone Number : 651-415-5458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2020
Last Update Date : 04/29/2026

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Directions to “ ERIN WEATHERS MA, CF-SLP” Practice Location

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