Individual provider · Type 1 NPI

Gracie Eilleen Weidman, M.S., CCC-SLP

Student in an Organized Health Care Education/Training Program · North Little Rock, AR

NPI number 1093620353 Active

Practice location

304 Sorenson St
North Little Rock, AR 72118-3473

Call (501) 246-5191 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X203699 (AR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093620353

Gracie Eilleen Weidman, M.S., CCC-SLP's National Provider Identifier is 1093620353, issued on Aug 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Little Rock, AR. The record was last updated on Aug 18, 2026.