Diane Kalemba-Gassman, CCC-SLP/L
Speech-Language Pathologist, in Utica, IL. Individual provider (NPI-1).
NPI number1801284591
StatusActive
Last updated in NPPESJan 2, 2015
Details
- NPI
- 1801284591
- Entity type
- Individual (NPI-1)
- Name
- Diane Kalemba-Gassman
- Credential
- CCC-SLP/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2015
- Last updated
- Jan 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146002340 | IL | Yes |
Practice location
1122 N 2803rd RdUtica, IL 61373-9753
Phone 815-790-8553
Mailing address
1122 N 2803rd RdUtica, IL 61373-9753
Phone 815-790-8553
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