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NPI Code Detail

MEDICARE: AMY KATHERINE WELDON MS

MEDICARE: AMY KATHERINE WELDON MS
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 Pathologist2204000106VA

General Provider Information

NPI Number : 1811477748
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY KATHERINE WELDON MS
Provider Business Mailing Address
First Line : 6700 COLUMBIA PIKE
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-3450
Country : US
Telephone Number : 703-256-7000
Fax Number :
Provider Business Practice Location Address
First Line : 6700 COLUMBIA PIKE
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-3450
Country : US
Telephone Number : 703-256-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ AMY KATHERINE WELDON MS” Practice Location

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