Individual
MRS. DIANE MARIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1227 CHELAN LN, VENTURA, CA 93004-2658
(971) 235-4960
Mailing address
1227 CHELAN LN, VENTURA, CA 93004-2658
(971) 235-4960
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA1706
CA
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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