Doctor Name: | DIANE WEBBER |
NPI Number: | 1194975391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SL002858L |
Business Practice Address: | 851 Commerce Blvd Suite 107 Dickson City, PA - 185191759 |
Business Phone Number: | 5704895561 |
Business Fax Number: | 5704895563 |
Mailing Address: | 851 Commerce Blvd, Suite 107 DICKSON CITY |
State: | PA |
Postal Code: | 185191759 |
Phone Number: | 5704895561 |
Fax Number: | 5704895563 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL002858L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |