Organization Name: | DIANA G. MASKER, M.A., CCC |
NPI Number: | 1932200722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA G. MASKER (OWNER/THERAPIST) |
Mailing Address: | 3040 N Wickham Rd Suite 4 Melbourne |
State: | FL US |
Postal Code: | 329352369 |
Phone Number: | 3217511443 |
Fax Number: | 3217511448 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 3134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |