Provider Demographics
NPI:1992294342
Name:WEILBACHER, ROBYN L
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:WEILBACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 ROUND ROBIN CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3851
Mailing Address - Country:US
Mailing Address - Phone:314-443-4640
Mailing Address - Fax:
Practice Address - Street 1:1769 ROUND ROBIN CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3851
Practice Address - Country:US
Practice Address - Phone:314-443-4640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist