Weber Therapy Associates, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003625 Issued in GA

Legal business name

WEBER THERAPY ASSOCIATES, INC.

Practice address

302 Durden St
Vidalia, GA 30474-4606

Phone

(912) 537-6130

Fax

(912) 537-6130

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Beth Weber, M.ED. CCC SLP

Title

Speech-Language Pathologist

Phone

(912) 537-6130

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992875843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DURDEN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744606",
            "telephone_number": "912-537-6130",
            "fax_number": "912-537-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DURDEN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744606",
            "telephone_number": "912-537-6130",
            "fax_number": "912-537-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "912-537-6130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "003625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699663C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Denise Wallace
• Leah M Waller, PA
• Deborah Ward, L.P.C.
• Carl Anthony Wardlaw, LPC
• Kimberly Rae Warren, MSN, APRN, AGPCNP-BC
• Wheeler County Family Medicine
• Oliver Cleveland Whipple, R.PH.
• Zachary Jordan Whitaker, PA
• White Medical Services, PC
• Laura H White, PMHNP, FNP-C

• Speech-Language Pathologist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.