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NPI Code Detail

MEDICARE: DR. WELDON PAUL HARDEE CCC-SLP

MEDICARE: DR. WELDON PAUL HARDEE 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 Pathologist12455TX

General Provider Information

NPI Number : 1407054786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WELDON PAUL HARDEE CCC-SLP
Provider Business Mailing Address
First Line : 411 SW 24TH ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-4617
Country : US
Telephone Number : 210-434-6711
Fax Number :
Provider Business Practice Location Address
First Line : 411 SW 24TH ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-4617
Country : US
Telephone Number : 210-434-6711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 08/08/2008

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