Individual
MS. DIANE L GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12993 NW 7TH ST, PEMBROKE PINES, FL 33028-3108
(954) 558-4746
Mailing address
12993 NW 7TH ST, PEMBROKE PINES, FL 33028-3108
(954) 558-4746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9053
FL
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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