Doctor Name: | DIANNA DARLAND |
NPI Number: | 1104249911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | SLPA #7198 |
Business Practice Address: | 1660 Lakeside Dr Ste 1 # 208 Bullhead City, AZ - 864426544 |
Business Phone Number: | 6024397400 |
Business Fax Number: | |
Mailing Address: | 1660 Lakeside Dr, Ste 1 # 208 BULLHEAD CITY |
State: | AZ |
Postal Code: | 864426544 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | SLPA #7198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |