Individual
DIANE V PINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 270-9991
Mailing address
12 SHEPARD AVE, PROVIDENCE, RI 02904-1249
(401) 751-3525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01069
RI
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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