Provider Demographics
NPI:1518399666
Name:WESTON, HAYLEY D (SLP)
Entity Type:Individual
Prefix:MISS
First Name:HAYLEY
Middle Name:D
Last Name:WESTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:D
Other - Last Name:WEINTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4045 JEFFCO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-4213
Mailing Address - Country:US
Mailing Address - Phone:314-221-8479
Mailing Address - Fax:
Practice Address - Street 1:4045 JEFFCO BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-4213
Practice Address - Country:US
Practice Address - Phone:314-221-8479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013027644235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist