Individual
MRS. DIANE LEA KEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Contact information
Practice address
1807 NW 39TH ST, LINCOLN CITY, OR 97367-4849
(541) 921-0051
Mailing address
1807 NW 39TH ST, LINCOLN CITY, OR 97367-4849
(541) 921-0051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11195
OR
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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