Individual
MS. DIANNA L VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4207
(443) 550-8381
Mailing address
1350 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4207
(443) 550-8381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07347
STATE LICENSE
MD
Enumeration date
12/18/2018
Last updated
12/18/2018
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