Individual
DIANNE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
338 W NORTH COMMERCE ST, WILLS POINT, TX 75169-2504
(903) 873-5100
Mailing address
1023 W HIGHWAY 243, CANTON, TX 75103-2023
(903) 520-6762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16931
TEXAS LICENSURE
TX
Enumeration date
01/30/2023
Last updated
01/30/2023
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