Provider Demographics
NPI:1982727798
Name:WEIS, STEFANI S (SLP)
Entity type:Individual
Prefix:MS
First Name:STEFANI
Middle Name:S
Last Name:WEIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9842 SILVER CHIMES CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6830
Mailing Address - Country:US
Mailing Address - Phone:270-293-6185
Mailing Address - Fax:270-293-6185
Practice Address - Street 1:9842 SILVER CHIMES CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-6830
Practice Address - Country:US
Practice Address - Phone:270-293-6185
Practice Address - Fax:270-293-6185
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist