Individual
DIANE L. NASLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 N 44TH ST, PHOENIX, AZ 85018-5420
(480) 484-6100
Mailing address
49822 N 21ST LN, NEW RIVER, AZ 85087-8036
(623) 772-0215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623019
AHCCCS PROVIDER PIN #
AZ
Enumeration date
01/31/2007
Last updated
07/08/2007
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