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NPI Code Detail

MEDICARE: HEATHER WEISEL MS, CCC-SLP

MEDICARE: HEATHER WEISEL 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 Pathologist2202004331VA

General Provider Information

NPI Number : 1689887853
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER WEISEL MS, CCC-SLP
Provider Business Mailing Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-456-1801
Fax Number :
Provider Business Practice Location Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-456-1801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 09/18/2020

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Directions to “ HEATHER WEISEL MS, CCC-SLP” Practice Location

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