Provider Demographics
NPI:1104059831
Name:WEINREICH, SHEVA R (MS)
Entity type:Individual
Prefix:
First Name:SHEVA
Middle Name:R
Last Name:WEINREICH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SHEVA
Other - Middle Name:R
Other - Last Name:RAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:124 THUNDER CIR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2145
Mailing Address - Country:US
Mailing Address - Phone:917-806-0567
Mailing Address - Fax:
Practice Address - Street 1:124 THUNDER CIR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2145
Practice Address - Country:US
Practice Address - Phone:917-806-0567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58019190235Z00000X
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist