MEDICARE: CLAIRE DEWEBER

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
2	235Z00000X	Speech-Language Pathologist		WY
3	235Z00000X	Speech-Language Pathologist	SLP.0004902	CO

General Provider Information

NPI Number	:	1578045894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE DEWEBER

Provider Business Mailing Address
First Line	:	1095 WESTERN DR LOT 108A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-3952
Country	:	US
Telephone Number	:	719-920-6284
Fax Number	:

Provider Business Practice Location Address
First Line	:	1095 WESTERN DR LOT 108A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-3952
Country	:	US
Telephone Number	:	719-920-6284
Fax Number	:

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

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	02/13/2026

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Directions to “ CLAIRE DEWEBER ” Practice Location

Language	Start Address	Practice Location

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