Provider Demographics
NPI:1790986289
Name:WEPPLER, NORAJEAN
Entity Type:Individual
Prefix:MRS
First Name:NORAJEAN
Middle Name:
Last Name:WEPPLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NORAJEAN
Other - Middle Name:
Other - Last Name:COLASUONNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43 HANCOCK RD
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-1703
Mailing Address - Country:US
Mailing Address - Phone:631-587-9730
Mailing Address - Fax:
Practice Address - Street 1:887 KELLUM ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-1508
Practice Address - Country:US
Practice Address - Phone:631-884-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008251-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist