| Doctor Name: | DIANE PATRICAI VANDRIESEN |
| NPI Number: | 1780901777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S,, C.C.C.,B.C.B.A |
| License Number: | YS002404 |
| Business Practice Address: | 1 Eden Way Princeton, NJ - 08540 |
| Business Phone Number: | 6099870099 |
| Business Fax Number: | |
| Mailing Address: | 10 Fawn Ct, MONROE TOWNSHIP |
| State: | NJ |
| Postal Code: | 088311180 |
| Phone Number: | 7329916602 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 04/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | YS002404 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| 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 |