Individual
DIANA MICHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 97477-7723
(541) 371-2782
(541) 804-7695
Mailing address
1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 97477-7723
(541) 371-2782
(541) 804-7695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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