| Doctor Name: | DIANE STITTLE |
| NPI Number: | 1043601909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 600 |
| Business Practice Address: | 3219 Central Ave Kearney, NE - 688472949 |
| Business Phone Number: | 3088657182 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5285, GRAND ISLAND |
| State: | NE |
| Postal Code: | 688025285 |
| Phone Number: | 3083820344 |
| Fax Number: | 3083823241 |
| NPI Enumeration Date: | 02/13/2015 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |