Doctor Name: | DIANE WIENER |
NPI Number: | 1073793659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 004518-1 |
Business Practice Address: | 2534 Steinway St Astoria, NY - 111033702 |
Business Phone Number: | 7187775243 |
Business Fax Number: | 7187775250 |
Mailing Address: | 7 Steeplechase Dr, MARLBORO |
State: | NJ |
Postal Code: | 077461909 |
Phone Number: | 7323089577 |
Fax Number: | 7323081417 |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004518-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |