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Organization

DIANA L DALY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANA LYNN DALY MS CCC SLP (PRESIDENT THERAPIST)
(813) 767-2373
Entity
Organization

Contact information

Practice address
6211 TANAGER PLACE, TEMPLE TERRACE, FL 33617
(813) 767-2373
(813) 985-7026
Mailing address
6211 TANAGER PLACE, DIANA L DALY PA SPEECH LANGUAGE PATHOLOGY, TEMPLE TERRACE, FL 33617
(813) 767-2373
(813) 985-7026

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6227
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
289447
STAYWELL WELLCARE
05
889412400
FL
Enumeration date
11/30/2006
Last updated
06/06/2014
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