Provider Demographics
NPI:1023653615
Name:WEEKS, BETH ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 501
Mailing Address - Street 2:
Mailing Address - City:WEST ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15088-0501
Mailing Address - Country:US
Mailing Address - Phone:412-849-7585
Mailing Address - Fax:
Practice Address - Street 1:3 OAK STREET
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:PA
Practice Address - Zip Code:15331
Practice Address - Country:US
Practice Address - Phone:724-239-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist