Individual
MS. DIANNA JEAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7731
Mailing address
3330 MONTE VILLA PARKWAY, NORTHSHORE SCHOOL DISTRICT, BOTHELL, WA 98021-8972
(425) 408-7731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001066
WA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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