Individual
DIANE R CRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T. C.C.C.-SP
Contact information
Practice address
401 SOUTH BROAD ST., SUITE A, FREMONT, IN 46737-0774
(260) 495-9098
Mailing address
PO BOX D, FREMONT, IN 46737-0774
(260) 495-9098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22000997A
IN
Other
Enumeration date
10/12/2006
Last updated
07/09/2007
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