Individual
DIANE C GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8634 MAIDEN LN, KANSAS CITY, MO 64114-3033
(816) 363-6259
Mailing address
8634 MAIDEN LN, KANSAS CITY, MO 64114-3033
(816) 363-6259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112035
MO
235Z00000X
Speech-Language Pathologist
2602
KS
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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