Individual
DIANE ROSE DEARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 EXECUTIVE DR STE 10, WEST ORANGE, NJ 07052-3310
(973) 896-0422
Mailing address
300 EXECUTIVE DR STE 10, WEST ORANGE, NJ 07052-3310
(973) 896-0422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00883600
NJ
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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