Individual
TAI DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
83 APPLETON ST, ARLINGTON, MA 02476-5935
(781) 696-8161
Mailing address
83 APPLETON ST, ARLINGTON, MA 02476-5935
(781) 696-8161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8821-SL
MA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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