Doctor Name: | MRS. CHRISTINA DIANE DURON |
NPI Number: | 1649654963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED. CCC-SLP |
License Number: | SLP008170 |
Business Practice Address: | 1641 Madison Ave Tifton, GA - 317943757 |
Business Phone Number: | 2293537567 |
Business Fax Number: | 2293536309 |
Mailing Address: | 1641 Madison Ave, TIFTON |
State: | GA |
Postal Code: | 317943757 |
Phone Number: | 2293537567 |
Fax Number: | 2293536309 |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |