National Provider Identifier
Shannan Marie Weimer, M.A.CCC/L-SLP
Shannan Marie Weimer, M.A.CCC/L-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Yorkshire, NY and a listed phone number of (716) 492-9300.
Profile Overview
- NPI
- 1518120849
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 07, 2008
- Last Updated
- September 07, 2010
Practice Location
- 12125 Countyline Road
- Yorkshire-Pioneer Central School District
- Yorkshire, NY 14173-0579
Phone: (716) 492-9300
Mailing Address
- PO Box 579
- Countyline Road
- Yorkshire, NY 14173-0579
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1518120849
- Entity Type
- Individual
- Last Name
- Weimer
- First Name
- Shannan
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- M.A.CCC/L-SLP
- Provider Other Last Name
- Gregor
- Provider Other First Name
- Shannan
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.A.CCC/L-SLP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 579
- Mailing Address Line 2
- Countyline Road
- Mailing City
- Yorkshire
- Mailing State
- NY
- Mailing ZIP Code
- 14173-0579
- Mailing Country
- US
- Mailing Phone
- (716) 492-9300
- Practice Street Address
- 12125 Countyline Road
- Practice Address Line 2
- Yorkshire-Pioneer Central School District
- Practice City
- Yorkshire
- Practice State
- NY
- Practice ZIP Code
- 14173-0579
- Practice Country
- US
- Practice Phone
- (716) 492-9300
- Enumeration Date
- July 07, 2008
- Last Updated
- September 07, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)