Provider Demographics
NPI:1861642670
Name:WEAVER, RASHIDA LEANN (MS CCC/A)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:LEANN
Last Name:WEAVER
Suffix:
Gender:F
Credentials:MS CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18627 WILLOW COVE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7220
Mailing Address - Country:US
Mailing Address - Phone:281-858-7225
Mailing Address - Fax:713-917-3574
Practice Address - Street 1:18627 WILLOW COVE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7220
Practice Address - Country:US
Practice Address - Phone:281-858-7225
Practice Address - Fax:713-917-3574
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51597231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist