E. Diane Sisk, M.S., CCC-SLP
Speech-Language Pathologist, in Mobile, AL. Individual provider (NPI-1).
NPI number1598849366
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598849366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. E. Diane Sisk
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2327 | AL | Yes |
Practice location
7423 Mallard DrMobile, AL 36695-4267
Phone 251-607-7232
Mailing address
7423 Mallard DrMobile, AL 36695-4267
Phone 251-607-7232
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