Individual
DIANE T. WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4731 TROUSDALE DR STE 13A, NASHVILLE, TN 37220-1331
(615) 482-3253
Mailing address
2561 OAK FOREST DR, ANTIOCH, TN 37013-1840
(615) 482-3253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000000772
TN
235Z00000X
Speech-Language Pathologist
Primary
0772
TN
Other
Enumeration date
03/13/2007
Last updated
05/26/2020
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