Individual
DIANE ABATEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
650 FILLMORE ST, SAN FRANCISCO, CA 94117-2611
(415) 255-9395
Mailing address
650 FILLMORE ST, SAN FRANCISCO, CA 94117-2611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
390200000X
CA
Enumeration date
02/12/2016
Last updated
02/12/2016
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