Provider Demographics
NPI:1013027697
Name:WEBER, MOLLY NOLAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:NOLAN
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6642 BRANCH HILL GUINEA PIKE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9178
Mailing Address - Country:US
Mailing Address - Phone:513-791-1458
Mailing Address - Fax:513-791-4326
Practice Address - Street 1:6642 BRANCH HILL GUINEA PIKE
Practice Address - Street 2:FAMILY SPEECH & HEARING CLINIC, LLC
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9178
Practice Address - Country:US
Practice Address - Phone:513-791-1458
Practice Address - Fax:513-791-4326
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP6363235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist