| NPI | 1194940254 |
|---|---|
| Former Name | JOANNE ELIZABETH WEIDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002257-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A 01234) |
| 235Z00000X Speech-Language Pathologist (Licence: OH SP 4338) | |
| 237700000X Hearing Instrument Specialist (Licence: OH A 01234) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: OH A 01234) | |
| 235Z00000X Speech-Language Pathologist (Licence: NY 019122-1) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-09-04 |