| Doctor Name: | DIANE KAREN MITAL |
| NPI Number: | 1669637989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1131 |
| Business Practice Address: | 60 Connolly Parkway Bldg, 17a Hamden, CT - 06514 |
| Business Phone Number: | 4063754570 |
| Business Fax Number: | |
| Mailing Address: | 60 Connolly Parkway, Bldg, 17a HAMDEN |
| State: | CT |
| Postal Code: | 06514 |
| Phone Number: | 2032302815 |
| Fax Number: | 2032308502 |
| NPI Enumeration Date: | 07/25/2008 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1131 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |