Individual ProviderEllen Christine WeberSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address102 Profit Dr, Victoria, TX 77901-7346(361) 576-3131(989) 233-7957PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Christine Weber does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104178854Provider TypeIndividualFull NameWeber, Ellen ChristineCredentialCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date10/4/2012Last Updated8/15/2023Contact InformationPractice LocationPractice Address102 Profit Dr, Victoria, TX 77901-7346Phone(361) 576-3131FaxUnlisted FaxMailing LocationMailing Address107 Terra Vista Ranch Rd, Victoria, TX 77904-2964Phone(989) 233-7957FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense121504TexasCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense14062917Code235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense7101003041Michigan