Provider Demographics
NPI:1538419577
Name:WEAVER, AURORA JULIET (AUD)
Entity type:Individual
Prefix:DR
First Name:AURORA
Middle Name:JULIET
Last Name:WEAVER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:AURORA
Other - Middle Name:JULIET
Other - Last Name:GROSSMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:272 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9031
Mailing Address - Country:US
Mailing Address - Phone:740-779-7660
Mailing Address - Fax:740-799-7697
Practice Address - Street 1:1199 HALEY CENTER
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-9031
Practice Address - Country:US
Practice Address - Phone:334-844-9600
Practice Address - Fax:334-844-9684
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1159A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0098585Medicaid
WV3810026673Medicaid
OH0098585Medicaid
OHH185971Medicare PIN