Provider Demographics
NPI:1235216714
Name:WEISENBURGER, PAMELA OLEARY (MA/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:OLEARY
Last Name:WEISENBURGER
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 1:3240 ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-4208
Mailing Address - Country:US
Mailing Address - Phone:419-241-6219
Mailing Address - Fax:419-241-5912
Practice Address - Street 1:5950 AIRPORT HWY STE 17
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-7362
Practice Address - Country:US
Practice Address - Phone:419-865-7500
Practice Address - Fax:419-865-8532
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-5013235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist