Individual
MS. DIANE DAMITIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2716 BARTON CREEK BLVD APT 713, AUSTIN, TX 78735-1671
(703) 508-8838
Mailing address
2716 BARTON CREEK BLVD APT 713, AUSTIN, TX 78735-1671
(703) 508-8838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119109
TX
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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