Individual
MRS. DONA DIANE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
440 HIGHWAY 59 LOOP S, STE 104, LIVINGSTON, TX 77351-9096
(936) 328-8148
(936) 327-2491
Mailing address
830 FRANKLIN ST, CHARLESTON, IL 61920-3129
(217) 259-2953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
107336
TX
235Z00000X
Speech-Language Pathologist
Primary
146002991
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001532016
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/01/2006
Last updated
05/15/2013
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