Individual
COLLEEN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2851 PARK AVE, SANTA CLARA, CA 95050-6006
(408) 243-7861
Mailing address
2851 PARK AVE, SANTA CLARA, CA 95050-6006
(408) 243-7861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE12509
CA
Other
Enumeration date
01/23/2019
Last updated
02/04/2022
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