Doctor Name: | MRS. DONA DIANE KING |
NPI Number: | 1487661856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 107336 |
Business Practice Address: | 440 Highway 59 Loop S Ste 104 Livingston, TX - 773519096 |
Business Phone Number: | 9363288148 |
Business Fax Number: | 9363272491 |
Mailing Address: | 830 Franklin St, CHARLESTON |
State: | IL |
Postal Code: | 619203129 |
Phone Number: | 2172592953 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107336 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |