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Diana Chisum, SLPA

Specialist/Technologist, Speech-Language Assistant in Avondale, AZ. Individual provider (NPI-1).

NPI number1669969598
StatusActive
Last updated in NPPESApr 17, 2018

Details

NPI
1669969598
Entity type
Individual (NPI-1)
Name
Diana Chisum
Credential
SLPA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2018
Last updated
Apr 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language AssistantSLPA11063AZYes

Practice location

2629 N 110th Dr
Avondale, AZ 85392-5892

Phone 623-229-9423

Mailing address

2629 N 110th Dr
Avondale, AZ 85392-5892

Phone 623-229-9423

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