Provider Demographics
NPI:1609638527
Name:WEISS, DEANNA ELISE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:ELISE
Last Name:WEISS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1196 HOLMES CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4109
Mailing Address - Country:US
Mailing Address - Phone:818-588-0324
Mailing Address - Fax:
Practice Address - Street 1:9010 BRENTWOOD BLVD STE D
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-4046
Practice Address - Country:US
Practice Address - Phone:925-222-5787
Practice Address - Fax:925-775-1150
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist