Individual
MS. DIANNE SPEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP.
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
Mailing address
309 BRITTANY DR, WAYNE, NJ 07470-3286
(973) 694-1698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
883
NJ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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