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MS. INES D DIAZ TSLD

Speech-Language Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1598098832

Individual Registrant:
MS. INES D DIAZ TSLD
Gender: F
Sole Proprietor

Location and contact information for practice:
310BLUERIDGE DR  CANADENSIS, PA 18325 US
Tel: 570-595-2935  Fax: --

Contact information for business:
RR 1BOX200M 310BLUERIDGE DR CANADENSIS, PA 18325 US
Tel: 570-595-2935  Fax: --

Registration Information:
NPI: 1598098832
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Speech-Language Assistant
NY354866091

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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