Individual
DIANE SHAFFER BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.-CCC(A)
Contact information
Practice address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
(409) 363-0291
(409) 835-2799
Mailing address
PO BOX 7590, BEAUMONT, TX 77726-7590
(409) 363-0291
(409) 835-2799
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50198
TX
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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