Individual
DIANE L WARMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
255 CONCORD ST W, PORTLAND, ME 04103-2501
(207) 615-5405
Mailing address
255 CONCORD ST W, PORTLAND, ME 04103-2501
(207) 615-5405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP447
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230980099
—
ME
01
—
SP447
STATE LICENSE
ME
Enumeration date
10/15/2010
Last updated
10/15/2010
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