Provider Demographics
NPI:1891682191
Name:WEBER, BETTY S (MED)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:S
Last Name:WEBER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 OLD COMPTON ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6557
Mailing Address - Country:US
Mailing Address - Phone:702-506-1507
Mailing Address - Fax:702-506-1507
Practice Address - Street 1:6440 SKY POINTE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4047
Practice Address - Country:US
Practice Address - Phone:702-630-6148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-4241235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist