Individual
DIANE OLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SPT
Contact information
Practice address
2414 N TRENTON, MESA, AZ 85207-2527
(480) 380-2810
(480) 380-2861
Mailing address
2237 E MONTEBELLO AVE, PHOENIX, AZ 85016-2715
(480) 380-2810
(480) 380-2861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2186
AZ
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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