Doctor Name: | DR. ELLEN-SUE DIAMANT |
NPI Number: | 1427116276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP.D |
License Number: | 771 |
Business Practice Address: | 615 S. Piegan Browning, MT - 59417 |
Business Phone Number: | 4062264224 |
Business Fax Number: | |
Mailing Address: | Po Box 227, Mile 206 Hwy 2 EAST GLACIER PARK |
State: | MT |
Postal Code: | 594340227 |
Phone Number: | 4062264224 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |